Individual
KRISTY GARGANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
2100 MANCHESTER RD, WHEATON, IL 60187-4579
(630) 923-5114
Mailing address
300 DIVISION ST, SOUTH ELGIN, IL 60177-1108
(630) 577-7506
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.102673
IL
1041C0700X
Clinical Social Worker
150.102673
IL
Other
Enumeration date
10/13/2018
Last updated
10/13/2018
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