Individual
DEBBIE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
132 BOWMAN ST, MATTESON, IL 60443-3016
(708) 822-5437
Mailing address
132 BOWMAN ST, MATTESON, IL 60443-3016
(708) 822-5437
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
IL
104100000X
Social Worker
—
IL
1041C0700X
Clinical Social Worker
Primary
149026550
IL
171M00000X
Case Manager/Care Coordinator
—
IL
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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