Individual
CARLY LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
681 LILLIE ST, ELGIN, IL 60120-4469
(804) 814-7961
Mailing address
3811 S WALLACE ST, CHICAGO, IL 60609-1749
(804) 814-7961
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149023828
IL
1041C0700X
Clinical Social Worker
34011029A
IN
Other
Enumeration date
10/10/2021
Last updated
05/06/2026
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