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Search › South Dakota › 1041C0700X

Logan Gilmore, LCSW

NPI 1922681568 · on the registry since 2021 · sole proprietor

Practice

Address
2900 Doolittle Dr
Ellsworth Afb, SD 57706
Phone
(605) 858-2365
Organisation at this address
28th Medgrp-Ellsworth
28th Medgrp-Ellsworth
Inferred from a shared address, not stated in the registry.
Clinicians at this address
87

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-09-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Dakota