Individual
GABRIELA CARBAJAL SOTELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
922 JEWETT ST, WOODSTOCK, IL 60098-2367
(815) 276-7866
Mailing address
922 JEWETT ST, WOODSTOCK, IL 60098-2367
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242004355
IL
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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