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Individual

MR. BOBBY CARBAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, CRADC

Contact information

Practice address
906 DAVIS ST, EVANSTON, IL 60201-3608
(847) 492-1778
Mailing address
906 DAVIS ST, EVANSTON, IL 60201-3608
(847) 492-1778

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IL

Other

Enumeration date
02/15/2012
Last updated
02/15/2012
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