Individual
MS. ELLEN LEON CARBONELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1620 W HARRISON ST, TOWER RESOURCE CENTER, STE 04527, CHICAGO, IL 60612-3801
(312) 947-4448
Mailing address
1620 W HARRISON ST, TOWER RESOURCE CENTER, STE 04527, CHICAGO, IL 60612-3801
(312) 947-4448
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149000209
IL
Other
Enumeration date
04/10/2010
Last updated
10/03/2016
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