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Individual

ANDREW C GILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
723 SW 10TH ST, RENTON, WA 98057-5223
(206) 432-2562
Mailing address
19536 15TH AVE NW, SHORELINE, WA 98177
(206) 432-2562

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61066372
WA

Other

Enumeration date
07/10/2022
Last updated
07/10/2022
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