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Individual

DR. AVA J. CARN-WATKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1604 CHICAGO AVE STE 2, EVANSTON, IL 60201-6017
(312) 339-0766
Mailing address
1604 CHICAGO AVE STE 2, EVANSTON, IL 60201-6017
(312) 339-0766

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-004582
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01606195
BCBS
IL
Enumeration date
08/05/2006
Last updated
02/27/2023
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