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Organization
MARY CARLTON LCSW, PLLC
Active
Organization
MARY CARLTON LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E CARLTON LCSW (DIRECTOR)
(312) 771-6648
Entity
Organization
Contact information
Practice address
5331 W WINDSOR AVE APT 2, CHICAGO, IL 60630-3876
(312) 771-6648
Mailing address
2501 CHATHAM RD STE N, SPRINGFIELD, IL 62704-4188
(312) 771-6648
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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