Individual
KLAUDIA M CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21126 MAPLE ST, MATTESON, IL 60443-2530
(708) 646-3107
Mailing address
21141 GOVERNORS HWY, STE 114 PMB 1033, MATTESON, IL 60443-3818
(708) 646-3107
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180014349
IL
Other
Enumeration date
03/25/2022
Last updated
11/25/2023
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