Individual
CAROLYN MARIE LOSCUITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6819 167TH ST, TINLEY PARK, IL 60477-2501
(708) 633-8000
Mailing address
17354 OLEANDER AVE, TINLEY PARK, IL 60477-3227
(773) 771-0608
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.012644
IL
Other
Enumeration date
10/12/2011
Last updated
05/05/2017
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