Individual
ANDREA GALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 N CONVENT ST, BOURBONNAIS, IL 60914-1320
(708) 691-1589
Mailing address
650 N CONVENT ST, BOURBONNAIS, IL 60914-1320
(815) 523-7268
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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