Organization
CLARE CHARLES LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLARE CHARLES LCSW (LCSW)
(312) 943-8770
Entity
Organization
Contact information
Practice address
2034 N BURLING ST, CHICAGO, IL 60614-4412
(312) 943-8770
Mailing address
2034 N BURLING ST, 2034 NORTH BURLING STREET, CHICAGO, IL 60614-4412
(312) 943-8770
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
149.002964
IL
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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