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Individual

GAIL WIRTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1801 TELEGRAPH RD, BANNOCKBURN, IL 60015-1861
(847) 267-8483
(847) 267-8483
Mailing address
1801 TELEGRAPH RD, BANNOCKBURN, IL 60015-1861
(847) 267-8483
(847) 267-8483

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
IL

Other

Enumeration date
11/07/2006
Last updated
07/08/2007
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