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Courtney Gilmer

Case Manager/Care Coordinator in Gonzales, LA. Individual provider (NPI-1).

NPI number1609486265
StatusActive
Last updated in NPPESFeb 9, 2021

Details

NPI
1609486265
Entity type
Individual (NPI-1)
Name
Courtney Gilmer
Sex
Female
Sole proprietor
No
Enumeration date
Aug 7, 2020
Certification date
Feb 8, 2021
Last updated
Feb 9, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
106S00000X Behavior Technician––

Practice location

1028 E Worthy St
Gonzales, LA 70737-4367

Phone 855-345-2273

Mailing address

116 S Seashore Ave
Long Beach, MS 39560-5707

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