Individual
MS. KIMBERLY ANN GILLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1534 WEST BRAD STREET, QUAKERTOWN, PA 18951-1106
(215) 272-9642
(215) 536-1059
Mailing address
PO BOX 898, RICHLANDTOWN, PA 18955-0898
(215) 272-9642
(215) 536-1059
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW017395
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CW017395
LCSW CREDENTIALS
PA
Enumeration date
02/28/2013
Last updated
05/01/2018
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