Individual
LESLIE MADOLORA GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4400 ALMA AVE, CASTRO VALLEY, CA 94546-3104
(510) 736-5078
Mailing address
19624 ADAIR DR, CASTRO VALLEY, CA 94546-3306
(510) 736-5078
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CA
1041S0200X
School Social Worker
Primary
66151
CA
Other
Enumeration date
10/03/2011
Last updated
12/04/2024
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