Individual
CAROLYN GAWENDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45W140 TIMBERVIEW LN, HAMPSHIRE, IL 60140-6806
(847) 533-2471
Mailing address
45W140 TIMBERVIEW LN, HAMPSHIRE, IL 60140-6806
(847) 533-2471
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.005827
IL
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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