Individual
CHERI CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
405 KAYS DR STE C, NORMAL, IL 61761-1979
(309) 664-3130
(309) 664-3528
Mailing address
405 KAYS DR STE C, NORMAL, IL 61761-1979
(309) 664-3130
(309) 664-3528
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149008961
IL
Other
Enumeration date
03/14/2007
Last updated
05/09/2011
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