Individual
GARY RUSS-SILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 LANIER CIR, GRETNA, FL 32332-2391
(850) 666-2089
Mailing address
40 LANIER CIR, GRETNA, FL 32332-2391
(850) 666-2089
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
1041S0200X
School Social Worker
1356817
FL
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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