Individual
GIOVANA VADASSERIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 W NORMANTOWN RD, ROMEOVILLE, IL 60446-4330
(815) 886-2700
Mailing address
801 W NORMANTOWN RD, ROMEOVILLE, IL 60446-4330
(815) 886-2700
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2040523
IL
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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