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Individual

ASHLEY GASIENICA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4201 LAKE COOK RD STE 103, NORTHBROOK, IL 60062-1060
(224) 467-2836
Mailing address
10341 S KARLOV AVE, OAK LAWN, IL 60453-4921
(708) 541-8908

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.114942
IL

Other

Enumeration date
07/15/2025
Last updated
07/15/2025
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