| Justin Sean Gillis Llc | |
|
115 Mill St Belmont MA 02478-1064 | |
| (617) 855-2459 | |
| (617) 855-3470 |
| Full Name | Justin Sean Gillis Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 115 Mill St, Belmont, Massachusetts |
| Authorized Official Name and Position | Justin Gillis (OWNER) |
| Authorized Official Contact | 7742730594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Sean Gillis Llc 115 Mill St Belmont MA 02478-1064 Ph: (617) 855-2459 | Justin Sean Gillis Llc 115 Mill St Belmont MA 02478-1064 Ph: (617) 855-2459 |
| NPI Number | 1023642253 |
|---|---|
| Provider Enumeration Date | 02/26/2020 |
| Last Update Date | 02/26/2020 |
| Certification Date | 02/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023642253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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