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Organization
MINDA G GERBER LCSW PLLC
Active
Organization
MINDA G GERBER LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDA GERBER LCSW (OWNER)
(847) 833-6764
Entity
Organization
Contact information
Practice address
770 LAKE COOK RD STE 125, DEERFIELD, IL 60015-4920
(847) 833-6764
Mailing address
770 LAKE COOK RD STE 125, DEERFIELD, IL 60015-4920
(847) 833-6764
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149004924
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149004924
ILLINOIS LICENSE
IL
Enumeration date
09/16/2015
Last updated
12/01/2021
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