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Individual

DR. HOWARD MARK GILLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1736 DIVISADERO ST, SAN FRANCISCO, CA 94115-3012
(415) 346-2234
Mailing address
1736 DIVISADERO ST, SAN FRANCISCO, CA 94115-3012
(415) 346-2234

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY6977
CA

Other

Enumeration date
07/01/2008
Last updated
07/01/2008
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