Individual
ALISSA MARIE GAWNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 S BRIDGE ST, YORKVILLE, IL 60560-1502
(630) 926-2026
Mailing address
22 WOODLAND DR, YORKVILLE, IL 60560-9808
(630) 926-2026
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.105017
IL
Other
Enumeration date
04/27/2021
Last updated
05/03/2021
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