Individual
CAROLINE WYSGALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1165 N CLARK ST STE 305, CHICAGO, IL 60610-7862
(312) 880-9913
(844) 787-9891
Mailing address
1165 N CLARK ST STE 305, CHICAGO, IL 60610-7862
(312) 880-9913
(844) 787-9891
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.028147
IL
Other
Enumeration date
02/08/2022
Last updated
04/03/2025
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