SUSAN MARIE GAMBACH

CHAMPAIGN, IL
NPI1164775458
Professional NameS. MARIE GAMBACH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149015516)
Enumeration Date2012-10-24
Last Update Date2012-10-24
Business Address
-- SUSAN MARIE GAMBACH LCSW
1514 COUNTRY LAKE DR
CHAMPAIGN, IL 61821-6428
Phone number: 217-637-1537
Mailing Address
-- SUSAN MARIE GAMBACH LCSW
116 N CHESTNUT ST SUITE 243
CHAMPAIGN, IL 61820-4039
Phone number: 217-637-1537
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