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Individual

GARY STEVEN ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.S.W.

Contact information

Practice address
101 S JEFFERSON ST, WOODSTOCK, IL 60098-3437
(815) 344-1230
Mailing address
101 S JEFFERSON ST, WOODSTOCK, IL 60098-3437
(815) 344-1230

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150-001144
IL

Other

Enumeration date
01/09/2015
Last updated
01/09/2015
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