Individual
AGLAED M GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5815 20TH ST, BLDG 213 SUITE 211, FORT BELVOIR, VA 22060-5523
(703) 805-5588
(703) 805-1065
Mailing address
P.O. BOX 73, FORT BELVOIR, VA 22060-0073
(404) 626-2048
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW004742
GA
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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