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Individual

SHARON GANDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1500 N CLYBOURN AVE UNIT C105, CHICAGO, IL 60610-2295
(312) 242-1665
Mailing address
1101 W NORTH SHORE AVE APT 3, CHICAGO, IL 60626-6713

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
08/13/2019
Last updated
08/13/2019
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