Individual
GITANJALI MAHANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1230 N HIGHLAND AVE, AURORA, IL 60506-1401
(630) 859-1291
Mailing address
351 N COMMERCE ST, AURORA, IL 60504-6854
(847) 596-0452
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.102284
IL
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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