Individual
MS. AGATHE ANN GABRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
400 CENTRAL AVE STE 202, NORTHFIELD, IL 60093-3024
(847) 579-9496
Mailing address
30007 N WAUKEGAN RD APT 117, LAKE BLUFF, IL 60044-1033
(404) 904-9498
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.021401
IL
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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