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Individual

HOLLY CARUSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
500 COVENTRY LN, SUITE 205, CRYSTAL LAKE, IL 60014-7579
(815) 455-7100
(815) 455-3951
Mailing address
500 COVENTRY LN, SUITE 205, CRYSTAL LAKE, IL 60014-7579
(815) 455-7100
(815) 455-3951

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178005548
IL

Other

Enumeration date
12/16/2008
Last updated
07/05/2012
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