Individual
JASON GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSWCC
Contact information
Practice address
43 HATCH DR STE 310, CARIBOU, ME 04736-2039
(207) 493-3361
(207) 492-4889
Mailing address
180 ACADEMY ST STE 3, PRESQUE ISLE, ME 04769-3183
(207) 554-2352
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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