Individual
MRS. DANIELLE L GAFFKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
150 E COOK AVE, SUITE 105, LIBERTYVILLE, IL 60048-2060
(919) 285-8417
Mailing address
150 E COOK AVE, SUITE 105, LIBERTYVILLE, IL 60048-2060
(919) 285-8417
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.017017
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149.017017
IL DEPARTMENT OF FINANCIAL & PROFESSIONAL REGULATION
IL
Enumeration date
01/11/2007
Last updated
03/23/2015
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