Individual
BRITTANY GILLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAPSW
Contact information
Practice address
1202 NORTHPORT DR, MADISON, WI 53704-2020
(608) 283-1364
Mailing address
6 LAKEWOOD GARDENS LN, MADISON, WI 53704-4613
(920) 515-5455
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
132030121
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132030121
WI DSPS LICENSE NUMBER
WI
Enumeration date
11/18/2020
Last updated
11/18/2020
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