Individual
ANNE GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3711 N RICHMOND ST, CHICAGO, IL 60618-3524
(312) 339-7673
Mailing address
1015 N CAMPBELL AVE APT 1, CHICAGO, IL 60622-8739
(216) 408-7485
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/20/2014
Last updated
01/20/2014
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