Individual
ASHLEY GALLICK-SOKOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1207 STARFIRE DR, OTTAWA, IL 61350-1693
(815) 434-4382
(815) 431-5298
Mailing address
1207 STARFIRE DR, OTTAWA, IL 61350-1693
(815) 434-4382
(815) 431-5298
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209014260
IL
Other
Enumeration date
03/17/2016
Last updated
10/12/2021
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