Individual
MARK KIMBALL GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
934 S MAIN ST, LAYTON, UT 84041-7135
(801) 773-7060
Mailing address
934 S MAIN ST, LAYTON, UT 84041-7135
(801) 773-7060
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7923306-3502
UT
1041C0700X
Clinical Social Worker
Primary
7923306-3501
UT
Other
Enumeration date
07/17/2013
Last updated
06/16/2016
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