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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AUDRA N GILLIS, MSW

Active Sole Proprietor

AUDRA N GILLIS, MSW is a Clinical Social Worker healthcare provider located in MITCHELLVILLE, Maryland. NPI 1083805451 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · MITCHELLVILLE, MD

Registration Details

NPI Number
1083805451
Provider Type
Individual
Gender
Female
NPI Issued
Aug 9, 2007 (18.97043432525 yrs)
Last Updated
Sep 7, 2011
Licenses
13071 (MD)
LC50078183 (DC)
Sole Proprietor
Yes

Practice Information

Address
1701 ENTERPRISE RD
MITCHELLVILLE, MD, 207212213
Browse MD providers · Browse ZIP 20721
Phone
3014421990
Fax
3016271806
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in MITCHELLVILLE, MD

Name Credential NPI
MS. LESLEY ANN ELLIS LICSW 1629292032
MRS. ETHEL LAURETTA HAWKINS MSW 1558690362
ARNECIA MOODY 1306251939
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.