Individual
MS. CAROLYN WASSBERG MANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
10735 S CICERO AVE, OAK LAWN, IL 60453-5400
(708) 499-4041
Mailing address
10735 S CICERO AVE, OAK LAWN, IL 60453-5400
(708) 499-4041
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.001703
IL
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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