Individual
CAROLYN SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2172 BLACKBERRY DR, GENEVA, IL 60134-1102
(630) 797-9872
Mailing address
30W030 PRINCETON CT, WARRENVILLE, IL 60555-1057
(630) 682-3094
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.011277
IL
Other
Enumeration date
03/24/2010
Last updated
10/06/2022
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