Individual
DIANA GALLARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2025 WASHINGTON ST, WAUKEGAN, IL 60085-5131
(847) 360-1020
Mailing address
2816 19TH PL, NORTH CHICAGO, IL 60064-1902
(224) 637-9168
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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