Individual
CHRISTINA MARIE GALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13317 COUNTY HIGHWAY 12, VENEDY, IL 62214-1103
(618) 317-1537
Mailing address
8077 NORTHLAND DR, SAINT ROSE, IL 62230-2547
(188) 303-4696
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.022427
IL
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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