Individual
ALEA MICHELLE GAYNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 RANDALL CT, GENEVA, IL 60134-3911
(219) 986-5810
Mailing address
1120 RANDALL CT, GENEVA, IL 60134-3911
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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