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1093147316

NPI Code Detail

MEDICARE: MR. ARNOLD O GILLO LCSW

MEDICARE: MR. ARNOLD O GILLO LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	8951247-3501	UT
2	1041C0700X	Clinical Social Worker	7759-C	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093147316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ARNOLD O GILLO LCSW

Provider Business Mailing Address
First Line	:	6166 S SANDHILL RD STE 108
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3216
Country	:	US
Telephone Number	:	801-625-3700
Fax Number	:

Provider Business Practice Location Address
First Line	:	6166 S SANDHILL RD STE 108
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3216
Country	:	US
Telephone Number	:	801-695-2987
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2013
Last Update Date	:	01/10/2020

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Directions to “ MR. ARNOLD O GILLO LCSW” Practice Location

Language	Start Address	Practice Location

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