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1891186623
MARK GILLOGLY
SAN FRANCISCO, CA
NPI
1891186623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 16400)
Enumeration Date
2015-02-16
Last Update Date
2015-02-16
Business Address
-- MARK GILLOGLY MSW, LCSW
236 WEST PORTAL AVENUE BOX 295
SAN FRANCISCO, CA 94127-1423
Phone number: 415-418-0630
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Mailing Address
-- MARK GILLOGLY MSW, LCSW
236 WEST PORTAL AVENUE BOX 295
SAN FRANCISCO, CA 94127-1423
Phone number: 415-418-0630
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