Individual
GABRIEL LYNN FOSSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
325 IL-2, DIXON, IL 61021
(815) 440-7487
Mailing address
325 IL-2, DIXON, IL 61021
(815) 440-7487
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.129129
IL
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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