Individual
MS. KIMBERLY LAUREN GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LCSW-C
Contact information
Practice address
3355 CHAD DR, EUGENE, OR 97408-7428
(458) 205-7836
Mailing address
3355 CHAD DR, EUGENE, OR 97408-7428
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
17216
MD
1041C0700X
Clinical Social Worker
Primary
L6194
OR
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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