Individual
BRETT GILLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
131 E MCKINLEY ST, CHAMBERSBURG, PA 17201-3522
(717) 247-1515
(717) 267-2316
Mailing address
131 E MCKINLEY ST, CHAMBERSBURG, PA 17201-3522
(717) 247-1515
(717) 267-2316
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW128639
PA
1041C0700X
Clinical Social Worker
23948
CA
1041C0700X
Clinical Social Worker
Primary
CW017079
PA
Other
Enumeration date
08/06/2007
Last updated
10/03/2011
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