KAILEEN BANASZAK GAUMER

DIXON, IL
NPI1093402984
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor Professional
(Licence: IL  178.005831)
Enumeration Date2023-04-20
Last Update Date2023-04-20
Business Address
KAILEEN BANASZAK GAUMER
629 N GALENA AVE STE 120
DIXON, IL 61021-1664
Phone number: 815-288-1235
Mailing Address
KAILEEN BANASZAK GAUMER
1212 CRESTVIEW RD
STERLING, IL 61081-4314
Phone number: 630-781-6207
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