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Organization
HER SOLE PURPOSE
Active
Organization
HER SOLE PURPOSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAJMAR CARTER LCSW (FOUNDERLICENSED CLINICAL THERAPIST)
(708) 821-8610
Entity
Organization
Contact information
Practice address
3128 ILLINOIS ST, LANSING, IL 60438-3005
(773) 817-8959
Mailing address
3128 ILLINOIS ST, LANSING, IL 60438-3005
(773) 817-8959
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/27/2022
Last updated
02/27/2022
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