Individual
MRS. ANGELA ELLIOTT GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
560 E MAPLE ST, ROSEVILLE, IL 61473-9679
(309) 371-5933
Mailing address
560 E MAPLE ST, ROSEVILLE, IL 61473-9679
(309) 371-5933
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.013578
IL
Other
Enumeration date
01/10/2021
Last updated
01/10/2021
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