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NPI Profile for LYNN GILLIS in EAGLE BUTTE, SD.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI Number | 1043631450 |
|
| Status | Active | |
| Credentials | M.A., L.C.P.C. | |
| Entity | Individual | |
| Enumeration date | 01/02/2014 | |
| Last updated | 01/02/2014 - About 12 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LYNN GILLIS
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LYNN GILLIS, M.A., L.C.P.C.