Michelle Leeann Gillham, BA, BHRS, CM Valid NPI
Individual provider · Case Manager/Care Coordinator · Boley, OK
- NPI
- 1285704643
- Type
- Individual (Type 1)
- Primary specialty
- Case Manager/Care Coordinator
- Specialty group
- Other Service Providers
- Taxonomy code
- 171M00000X
- License number
- #9860 (OK)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-11-09
- Last updated
- 2007-07-09
Practice location
Rr 1, Box 35d
Boley, OK 74829
(918) 667-3367