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Individual

JALISA GILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3674 S WASHINGTON ST, GRAND FORKS, ND 58201-5766
(701) 205-3000
(701) 732-2501
Mailing address
701 TILLERY ST STE 12, AUSTIN, TX 78702-3751
(512) 270-9622

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
64874
TX
1041C0700X
Clinical Social Worker
236593
AK
1041C0700X
Clinical Social Worker
34562
MN
1041C0700X
Clinical Social Worker
Primary
64874
TX
1041C0700X
Clinical Social Worker
6911
SD
1041C0700X
Clinical Social Worker
6932
ND
1041C0700X
Clinical Social Worker
81414
MT
1041C0700X
Clinical Social Worker
9860
TN

Other

Enumeration date
07/20/2023
Last updated
04/10/2026
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