Individual
MISS COLLEEN HELEN CAREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9223 S RIDGEWAY AVE, EVERGREEN PARK, IL 60805-1424
(708) 638-4154
Mailing address
9223 S RIDGEWAY AVE, EVERGREEN PARK, IL 60805-1424
(708) 638-4154
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
2034680
IL
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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