Provider Demographics
NPI:1811626815
Name:GIL, JOYLYNN JULIA (BSW)
Entity Type:Individual
Prefix:
First Name:JOYLYNN
Middle Name:JULIA
Last Name:GIL
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:551 VALLEY AVE NW
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49504-5064
Mailing Address - Country:US
Mailing Address - Phone:616-293-4852
Mailing Address - Fax:
Practice Address - Street 1:1706 WILSON AVE NW
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49534-2157
Practice Address - Country:US
Practice Address - Phone:616-591-3834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker