Michael Allan Gillis, LCSW-C
Social Worker, Clinical in Bel Air, MD. Individual provider (NPI-1).
NPI number1164068110
StatusActive
Last updated in NPPESNov 25, 2019
Details
- NPI
- 1164068110
- Entity type
- Individual (NPI-1)
- Name
- Mr. Michael Allan Gillis
- Credential
- LCSW-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 25, 2019
- Last updated
- Nov 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 20484 | MD | Yes |
Practice location
2107 Laurel Bush Rd Ste 102Bel Air, MD 21015-5202
Phone 443-371-3233
Mailing address
408 Brant CtHavre De Grace, MD 21078-4203
Phone 443-243-4161
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