Individual
CARISSA ANN SILUNAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
24735 W EAMES ST, CHANNAHON, IL 60410-8705
(815) 416-9636
Mailing address
24735 W EAMES ST, CHANNAHON, IL 60410-8705
(815) 416-9636
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150106389
IL
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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