Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 150015428 | IL |
NPI | 1003332420 |
---|---|
Provider Name | Giselle Navarro |
First Address | Aurora, IL 60506-5185 |
Second Address | Aurora, IL 60506-5185 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2017 |
Last Update Date | 17/08/2017 |