Michelle Leeann Gillham, BA, BHRS, CM
Case Manager/Care Coordinator in Boley, OK. Individual provider (NPI-1).
NPI number1285704643
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1285704643
- Entity type
- Individual (NPI-1)
- Name
- Michelle Leeann Gillham
- Credential
- BA, BHRS, CM
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | #9860 | OK | Yes |
Practice location
Rr 1, Box 35dBoley, OK 74829
Phone 918-667-3367 · Fax 918-667-3387
Mailing address
Rt. 1, Box 117-1Prague, OK 74864
Phone 405-567-1297
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All 40 Case Manager/Care Coordinator providers in Boley · All 73 providers in Boley
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