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Individual

MR. SHAWN A GILLIES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
815 E MAIN ST, AUBURN, WA 98002-5628
(253) 880-3053
Mailing address
815 E MAIN ST, AUBURN, WA 98002-5628
(253) 880-3053

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
51577723902
UT
106H00000X
Marriage & Family Therapist
Primary
LF60045752
WA

Other

Enumeration date
10/13/2006
Last updated
10/23/2008
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