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Individual

DR. CAROLYN R MONTFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD PC

Contact information

Practice address
636 CHURCH STREET, STE 414, EVANSTON, IL 60201
(773) 968-6393
(847) 332-2095
Mailing address
636 CHURCH STREET, STE 414, EVANSTON, IL 60201
(773) 968-6393
(847) 332-2095

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
IL71006679
IL

Other

Enumeration date
03/02/2006
Last updated
07/08/2007
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