Individual
MRS. CAROL GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
240 SAUNDERS RD, RIVERWOODS, IL 60015-3835
(847) 236-1701
(847) 236-1705
Mailing address
240 SAUNDERS RD, RIVERWOODS, IL 60015-3835
(847) 236-1701
(847) 236-1705
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004927712
BC/BS
IL
Enumeration date
09/29/2006
Last updated
07/08/2007
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