Individual
EMILY R CLUTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
305 W JACKSON ST, SUITE 200, CARBONDALE, IL 62901-1474
(618) 453-3777
(618) 453-1102
Mailing address
305 W JACKSON ST, SUITE 200, CARBONDALE, IL 62901-1474
(618) 453-3777
(618) 453-1102
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-013094
IL
Other
Enumeration date
12/10/2008
Last updated
02/17/2009
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