Individual
GRACE ANGELINA GASSIRARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1303 GERBER WOODS DR, EDWARDSVILLE, IL 62025-3102
(618) 823-3321
Mailing address
1303 GERBER WOODS DR, EDWARDSVILLE, IL 62025-3102
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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