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Individual

GERALD GILLIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
724 N 22ND ST, SAINT JOSEPH, MO 64506-2604
(816) 236-2457
(816) 364-4211
Mailing address
4919 BRIARWOOD LN, SAINT JOSEPH, MO 64506-3316
(816) 279-5283

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000344
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
493224307
MO
Enumeration date
04/18/2007
Last updated
05/06/2010
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