Individual
ALEXIS SAMANTHA GATSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2001 PHILO RD, URBANA, IL 61802-8007
(217) 398-9066
(217) 398-9077
Mailing address
2001 PHILO RD, URBANA, IL 61802-8007
(217) 398-9066
(217) 398-9077
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.027055
IL
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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