Individual
MR. DAVID EUGENE GILLS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
53 CREEK RD, VOLANT, PA 16156-1301
(724) 533-2433
(724) 533-5485
Mailing address
53 CREEK RD, VOLANT, PA 16156-1301
(724) 533-2433
(724) 533-5485
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW005825E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141720
MAGELLEN
PA
01
—
157733
VALUE OPTIONS
PA
01
—
647842
HIGHMARK BLUE CROSS
PA
Enumeration date
04/04/2006
Last updated
07/08/2007
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