Individual
GILLIAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 HEALTH SERVICES DR, DEKALB, IL 60115-9637
(815) 758-8616
(815) 758-8159
Mailing address
14 HEALTH SERVICES DR, DEKALB, IL 60115-9637
(815) 758-8616
(815) 758-8159
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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