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Organization

JO ELLEN CARL LTD

Active
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Organization

JO ELLEN CARL LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JO ELLEN CARL LCPC (PRESIDENT)
(815) 935-0887
Entity
Organization

Contact information

Practice address
110 MOONEY DR STE 1, BOURBONNAIS, IL 60914-2172
(815) 933-7887
(815) 933-7870
Mailing address
110 MOONEY DR STE 1, BOURBONNAIS, IL 60914-2172
(815) 933-7887
(815) 933-7870

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL

Other

Enumeration date
03/31/2008
Last updated
03/31/2008
About Stedi
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  • EDI platform