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CARLETON CHILDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.A.

Contact information

Practice address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8982
(847) 984-5690
Mailing address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8982
(847) 984-5690

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
04/20/2017
Last updated
04/20/2017
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