Individual
MS. COLLEEN CLARK LAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9620 US ROUTE 34, SUITE E, YORKVILLE, IL 60560-1394
(630) 688-0289
Mailing address
2556 ROBERT DR, MONTGOMERY, IL 60538-3351
(630) 892-4824
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149010985
IL
Other
Enumeration date
10/11/2006
Last updated
10/04/2012
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