Individual
GINA RENEE MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
221 W WYNOOCHE AVE UNIT B, MONTESANO, WA 98563-4401
(360) 797-5241
(360) 249-8495
Mailing address
221 W WYNOOCHE AVE UNIT B, MONTESANO, WA 98563-4401
(360) 797-5241
(360) 249-8495
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
60693174
WA
Other
Enumeration date
02/15/2020
Last updated
02/15/2020
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