Individual
MRS. TERRY ANN GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1407 SAINT ANDREW ST, STE 100, LA CROSSE, WI 54603-3301
(608) 786-6266
Mailing address
1009 EMERY ST, NEILLSVILLE, WI 54456-1430
(715) 743-3264
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
3054-120
WI
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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