Individual
JACQUELINE CARRUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
778 W FRONTAGE RD STE 104, NORTHFIELD, IL 60093-1209
(815) 685-1896
Mailing address
778 W FRONTAGE RD STE 104, NORTHFIELD, IL 60093-1209
(815) 685-1896
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
150.107072
IL
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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