Individual
DENISE GAILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
342 E 25TH PL, CHICAGO, IL 60616-5500
(630) 479-6330
Mailing address
342 E 25TH PL, CHICAGO, IL 60616-5500
(630) 479-6330
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149019782
IL
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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