# MR. ANTONIO JORGE GILMORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1750687281
- **Gender:** Man
- **Credential:** M.S.W/L.S.W-PENDING

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | Yes |
| 225400000X | Rehabilitation Practitioner | — | NULL | — |

## Other

- **Enumeration date:** 02/01/2011
- **Last updated:** 02/01/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 104100000X | — | NV |
| 05 | — | 225400000X | — | NV |