Individual
ALEXIS GANZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2824 ORCHARD LN, WILMETTE, IL 60091-2144
(773) 870-9839
Mailing address
6701 W 64TH ST, CHICAGO, IL 60638-4814
(708) 315-4508
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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