Individual
MS. GWENN WALDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
618 LIBRARY PL, EVANSTON, IL 60201-2908
(847) 733-4300
Mailing address
1800 RIDGE AVE, UNIT 211, EVANSTON, IL 60201-3621
(847) 507-5151
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636492
LCPC
IL
Enumeration date
03/27/2007
Last updated
07/08/2007
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