DE VIDA GILL

TUSTIN, CA
NPI1710100508
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCS 23243)
Enumeration Date2007-04-10
Last Update Date2020-01-31
Business Address
Dr. DE VIDA GILL LCSW
180 E MAIN ST STE 203
TUSTIN, CA 92780-4414
Phone number: 949-682-2092
Mailing Address
Dr. DE VIDA GILL LCSW
2913 EL CAMINO REAL # 129
TUSTIN, CA 92782-8909
Phone number: 949-682-2092