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Individual

MR. GILLIOUS SOLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
187 BELLINGHAM DR, BUSHKILL, PA 18324-7754
(570) 442-1755
Mailing address
187 BELLINGHAM DR, BUSHKILL, PA 18324-7754
(570) 442-1755

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
096960
PRIVATE PRACTICE
NY
Enumeration date
08/16/2016
Last updated
08/18/2025
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