Individual
DEANA GASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSW
Contact information
Practice address
2653 W OGDEN AVE, CHICAGO, IL 60608-1647
(773) 257-5311
Mailing address
2653 W OGDEN AVE, CHICAGO, IL 60608-1647
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
251B00000X
Case Management Agency
111344311
TN
Other
Enumeration date
08/08/2007
Last updated
04/11/2016
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