Individual
DR. CAROLYN ANN GOOSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMIN, MDIV, LCSW
Contact information
Practice address
9701 S 49TH AVE, OAK LAWN, IL 60453-3005
(773) 507-3770
(708) 563-0114
Mailing address
DR CAROLYN A GOOSBY, 8108A CONCORD LANE, JUSTICE, IL 60458
(773) 507-3770
(708) 563-0114
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
IL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
12/08/2020
Last updated
04/30/2024
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