Kiefer Gill

NPI #1649657107 in Marengo, Illinois

Provider Information

NPI Number: 1649657107
Entity Type: Individual
Name: Kiefer Gill
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: May 4, 2015
Last Updated: May 4, 2015

Practice Location

Address: 20676 RIDGEVIEW LN
City: Marengo
State: Illinois
ZIP Code: 60152-8616
Phone: (815) 919-3792

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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