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Organization
SANDRA CARLSON & ASSOCIATES
Active
Organization
SANDRA CARLSON & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA CARLSON III LCPC (PRESIDENT)
(630) 771-0144
Entity
Organization
Contact information
Practice address
682 W BOUGHTON RD STE D, BOLINGBROOK, IL 60440-2199
(630) 771-0144
(630) 771-9520
Mailing address
682 W BOUGHTON RD STE D, BOLINGBROOK, IL 60440-2199
(630) 771-0144
(630) 771-9520
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09932036
BLUE CROSS BLUE SHIELD
IL
Enumeration date
02/01/2008
Last updated
02/01/2008
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