Individual
MRS. BRIGID L GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
21701 GOUGAR RD, NEW LENOX, IL 60451-1576
(815) 717-3543
Mailing address
21701 GOUGAR RD, NEW LENOX, IL 60451-1576
(815) 717-3543
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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