GEMILLIA STAPLE

CHICAGO, IL
NPI1497275374
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.019487)
Additional Taxonomies104100000X Social Worker
(Licence: IL  150.014788)
1041S0200X Social Worker, School
(Licence: IL  2047268)
Enumeration Date2017-06-22
Last Update Date2022-07-21
Business Address
GEMILLIA STAPLE LCSW
1950 W ROOSEVELT RD
CHICAGO, IL 60608-1245
Phone number: 312-433-3152
Mailing Address
GEMILLIA STAPLE LCSW
1950 W ROOSEVELT RD
CHICAGO, IL 60608-1245
Phone number: 773-301-9665