Brett Gillam, MSW, LCSW
Social Worker, Clinical in Chambersburg, PA. Individual provider (NPI-1).
NPI number1164613014
StatusActive
Last updated in NPPESOct 3, 2011
Details
- NPI
- 1164613014
- Entity type
- Individual (NPI-1)
- Name
- Brett Gillam
- Credential
- MSW, LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 6, 2007
- Last updated
- Oct 3, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CW017079 | PA | Yes |
| 1041C0700X | Social Worker, Clinical | 23948 | CA | |
| 104100000X | Social Worker | SW128639 | PA |
Practice location
131 E McKinley StChambersburg, PA 17201-3522
Phone 717-247-1515 · Fax 717-267-2316
Mailing address
131 E McKinley StChambersburg, PA 17201-3522
Phone 717-247-1515 · Fax 717-267-2316
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