Individual
DR. ALTHIA GAYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17245 WILLIAM ST, LANSING, IL 60438-1382
(312) 593-1879
Mailing address
17245 WILLIAM ST, LANSING, IL 60438-1382
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149023103
IL
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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