Individual
MRS. CARRIE LOUISE KUPFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
645 COUNTRY CLUB DR, ITASCA, IL 60143-1678
(847) 337-1440
Mailing address
645 COUNTRY CLUB DR, ITASCA, IL 60143-1678
(847) 337-1440
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149013469
IL
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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