Valerie Gill Inc | |
1545 Associates Dr Ste 105 Dubuque IA 52002-2299 | |
(563) 564-4114 | |
(563) 726-7336 |
Full Name | Valerie Gill Inc |
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Speciality | Community/Behavioral Health |
Location | 1545 Associates Dr Ste 105, Dubuque, Iowa |
Authorized Official Name and Position | Valerie Ann Gill (OUTPATIENT THERAPIST) |
Authorized Official Contact | 6083317844 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Valerie Gill Inc 1545 Associates Dr Ste 105 Dubuque IA 52002-2299 Ph: (563) 564-4114 | Valerie Gill Inc 1545 Associates Dr Ste 105 Dubuque IA 52002-2299 Ph: (563) 564-4114 |
NPI Number | 1366035149 |
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Provider Enumeration Date | 02/12/2021 |
Last Update Date | 02/16/2021 |
Certification Date | 02/16/2021 |
Medicare PECOS PAC ID | 2365850799 |
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Medicare Enrollment ID | O20210422002557 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366035149 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Valerie Ann Gill |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235149394 PECOS PAC ID: 3274941604 Enrollment ID: I20210422002616 |
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