Individual
ANGELA GILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5400 W LANDENS WAY APT 13A, PEORIA, IL 61615-9223
(309) 966-0068
(309) 966-0266
Mailing address
5400 W LANDENS WAY APT 13A, PEORIA, IL 61615-9223
(309) 966-0068
(309) 966-0266
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149019012
IL
Other
Enumeration date
12/27/2016
Last updated
04/26/2021
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