Gina Renee Miles, LICSW

NPI #1124651419 in Montesano, Washington

Provider Information

NPI Number: 1124651419
Entity Type: Individual
Name: Gina Renee Miles, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Feb 15, 2020
Last Updated: Feb 15, 2020

Practice Location

Address: 221 W WYNOOCHE AVE UNIT B
City: Montesano
State: Washington
ZIP Code: 98563-4401
Phone: (360) 797-5241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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Organizations

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