Individual
CARRIE SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. ED, QIDP
Contact information
Practice address
701 W LAMM RD, FREEPORT, IL 61032-9630
(815) 233-6162
(815) 233-6167
Mailing address
701 W LAMM RD, FREEPORT, IL 61032-9630
(815) 233-6162
(815) 233-6167
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371372148
—
IL
Enumeration date
11/02/2016
Last updated
11/02/2016
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