Individual
CAROLYN HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9304 SKOKIE BLVD, SKOKIE, IL 60077-1309
(224) 625-2912
Mailing address
9304 SKOKIE BLVD, SKOKIE, IL 60077-1309
(224) 625-2912
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149016521
IL
Other
Enumeration date
12/20/2010
Last updated
06/02/2016
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