Individual
GABRIELLE LOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2530 RIDGE AVE, EVANSTON, IL 60201-2492
(877) 486-4140
Mailing address
950 LEE ST STE 210, DES PLAINES, IL 60016-6574
(877) 486-4140
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
17-5013-57382
IL
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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