Individual
MR. CHARLES FRANCIS SMALL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.S.W.
Contact information
Practice address
1645 W JACKSON BLVD, SUITE 302, CHICAGO, IL 60612-3276
(312) 942-8318
Mailing address
1645 W JACKSON BLVD, SUITE 302, CHICAGO, IL 60612-3276
(312) 942-8318
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.015676
IL
Other
Enumeration date
06/14/2012
Last updated
04/05/2017
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