Individual
DR. GISELE MARIE CASANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
17139 DOBSON AVE, SOUTH HOLLAND, IL 60473-3533
(708) 333-7646
Mailing address
17139 DOBSON AVE, SOUTH HOLLAND, IL 60473-3533
(708) 333-7646
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.004308
IL
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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