Individual
CAROLYN SUE ENDICOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2900 FRANK SCOTT PKWY W, SUITE 956, BELLEVILLE, IL 62223-5000
(618) 233-3273
(618) 234-7233
Mailing address
2900 FRANK SCOTT PKWY W, SUITE 956, BELLEVILLE, IL 62223-5000
(618) 233-3273
(618) 234-7233
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-008683
IL
Other
Enumeration date
04/23/2007
Last updated
09/23/2017
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