Sierra L Parham-Gantt

NPI #1578064036 in Blue Island, Illinois

Provider Information

NPI Number: 1578064036
Entity Type: Individual
Name: Sierra L Parham-Gantt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Feb 21, 2018
Last Updated: Feb 21, 2018

Practice Location

Address: 13136 WESTERN AVE
City: Blue Island
State: Illinois
ZIP Code: 60406-2423
Phone: (708) 974-5800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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