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Individual

ANNA J CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
326 NORTHRIDGE AVE, BOLINGBROOK, IL 60440-2447
(479) 239-4681
(630) 739-9699
Mailing address
326 NORTHRIDGE AVE, BOLINGBROOK, IL 60440-2447
(479) 239-4681
(630) 739-9699

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
00149009542
IL
1041C0700X
Clinical Social Worker
Primary
2164-C
AR

Other

Enumeration date
02/06/2008
Last updated
02/09/2009
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