Individual
MISS GAIL MALVESTUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
555 N MAIN ST, WAUCONDA, IL 60084-1229
(847) 526-7690
Mailing address
336 MEADOW LN, LAKE ZURICH, IL 60047-2424
(708) 308-9941
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2291042
IL
1041S0200X
School Social Worker
1429595
IL
Other
Enumeration date
08/29/2024
Last updated
09/16/2024
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