Individual
MRS. CAROLINE JULIE PETRUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1623 ITHACA DR, NAPERVILLE, IL 60565-9235
(310) 344-0149
Mailing address
1623 ITHACA DR, NAPERVILLE, IL 60565-9235
(310) 344-0149
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
113077
CA
1041C0700X
Clinical Social Worker
Primary
149.025220
IL
Other
Enumeration date
01/20/2023
Last updated
04/11/2025
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