Individual
ROSCOE CANTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
8020 W 87TH ST, HICKORY HILLS, IL 60457-1189
(708) 745-5277
Mailing address
6918 WINDSOR AVE, BERWYN, IL 60402-3334
(708) 745-5277
(708) 795-4834
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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