Individual
SHIBL GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
857 E 200 S, SALT LAKE CITY, UT 84102-2317
(801) 487-3276
Mailing address
969 E SOUTH TEMPLE, 3, SALT LAKE CITY, UT 84102-1459
(801) 209-7039
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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