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Individual
THERESA B GABBY
Active
Individual
THERESA B GABBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
29063
IL
1041C0700X
Clinical Social Worker
Primary
149.010331
IL
1041S0200X
School Social Worker
2208622
IL
Other
Enumeration date
06/17/2013
Last updated
12/23/2013
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