Individual
MRS. AMY CARBONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12241 S DOGWOOD LN, PALOS HEIGHTS, IL 60463-1876
(708) 293-1172
Mailing address
12241 S DOGWOOD LN, PALOS HEIGHTS, IL 60463-1876
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149014095
IL
Other
Enumeration date
03/28/2015
Last updated
03/28/2015
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