Individual
CHARLENE R EARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
475 BROWN BLVD STE 101, BOURBONNAIS, IL 60914-2325
(708) 284-1255
Mailing address
475 BROWN BLVD STE 101, BOURBONNAIS, IL 60914-2325
(708) 284-1255
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149008867
IL
Other
Enumeration date
12/05/2006
Last updated
03/19/2020
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