GERARDO TAVERA

JOLIET, IL
NPI1912721804
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MD  32341)
Enumeration Date2024-11-08
Last Update Date2024-11-08
Business Address
GERARDO TAVERA LMSW
914 ELIZABETH ST
JOLIET, IL 60435-4604
Phone number: 815-570-5312
Mailing Address
GERARDO TAVERA LMSW
914 ELIZABETH ST
JOLIET, IL 60435-4604
Phone number: 181-570-5312