Organization
CAROLYN E PLACKO LCSW PC
Active
Other names
Shared Journey Services PC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN E PLACKO LCSW (PRESIDENT)
(312) 925-6124
Entity
Organization
Contact information
Practice address
3908 W MONTROSE AVE, CHICAGO, IL 60618-1019
(312) 925-6124
(773) 202-1016
Mailing address
4047 W PATTERSON AVE, CHICAGO, IL 60641-3042
(312) 925-6124
(773) 202-1016
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
060.010642
IL
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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