Individual
HEIDE GASKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2025 WASHINGTON ST, WAUKEGAN, IL 60085-5131
(847) 360-1065
Mailing address
2025 WASHINGTON ST, WAUKEGAN, IL 60085-5131
(847) 360-1065
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
IL
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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