Individual
MISS GRETCHEN MICHELLE WEIGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
222 E WILLOW AVE, WHEATON, IL 60187
(630) 784-4824
(630) 682-5276
Mailing address
222 E. WILLOW AVE, WHEATON, IL 60187
(630) 784-4800
(630) 682-5276
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149011006
IL
Other
Enumeration date
08/27/2006
Last updated
05/06/2014
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