Individual
CARLY ELIZABETH CORSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16N919 GLEN OAKS CT, HAMPSHIRE, IL 60140-8991
(847) 421-2774
Mailing address
16N919 GLEN OAKS CT, HAMPSHIRE, IL 60140-8991
(847) 421-2774
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33008457A
IN
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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