Individual
TODD GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8079 N 85TH WAY, SCOTTSDALE, AZ 85258-4321
(480) 261-5015
Mailing address
522 W VERNON AVE, PHOENIX, AZ 85003-1043
(602) 284-1554
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-18601
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D4333357
N/A
AZ
Enumeration date
11/27/2019
Last updated
04/09/2021
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