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Individual
GEMILLIA STAPLE
Active
Individual
GEMILLIA STAPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150.014788
IL
1041C0700X
Clinical Social Worker
Primary
149.019487
IL
1041S0200X
School Social Worker
2047268
IL
Other
Enumeration date
06/22/2017
Last updated
07/21/2022
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