Kaileen Banaszak Gaumer

NPI #1093402984 in Dixon, Illinois

Provider Information

NPI Number
1093402984
Entity Type
Individual
Name
Kaileen Banaszak Gaumer
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Enumeration Date
Apr 20, 2023
Last Updated
Apr 20, 2023

Practice Location

Address
629 N GALENA AVE STE 120
City
Dixon
ZIP Code
61021-1664
Phone
(815) 288-1235

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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