Individual
CAROL CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW PLLC
Contact information
Practice address
53 W JACKSON BLVD STE 626, CHICAGO, IL 60604-3444
(847) 612-9570
Mailing address
1634 FOREST AVE, WILMETTE, IL 60091-1530
(476) 129-5708
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149001906
IL
Other
Enumeration date
11/21/2005
Last updated
04/26/2024
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