Individual
MRS. NICOLE GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1201 E 9TH ST, BONHAM, TX 75418-4059
(903) 583-1392
Mailing address
1201 E 9TH ST, BONHAM, TX 75418-4059
(903) 583-1392
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
36538
TX
Other
Enumeration date
02/19/2016
Last updated
12/26/2019
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