Individual
DEBORAH BIRCH-GAYTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2528 N LINCOLN AVE, SUITE 116, CHICAGO, IL 60614-2333
(312) 636-5003
Mailing address
4255 N WHIPPLE ST, CHICAGO, IL 60618-2515
(312) 636-5003
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.013893
IL
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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