Most Relevant Information
Provider Data
| NPI Number: | 1003519265 |
| Provider Name: | JAMIE GILLES LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | SW10230 |
Most Important Dates
| Enumeration Date: | 03/24/2023 |
| Last Updated: | 02/07/2024 |
Provider Practice Location
12550 NEW BRITTANY BLVD STE 100
FORT MYERS
FL
339073655
Practice Location Phone/Fax
| Phone: | 2393439180 |
| Fax: | 2393439188 |
Provider Mailing Location
PO BOX 2147
FORT MYERS
FL
339022147
Provider Mailing Phone/Fax
| Phone: | 2393439180 |
| Fax: | 2393439188 |