Individual
CHARLOTTE LOUISE MIDDLEBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CCM
Contact information
Practice address
719 HOME AVE, OAK PARK, IL 60304-1013
(513) 312-9761
Mailing address
719 HOME AVE, OAK PARK, IL 60304-1013
(513) 312-9761
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149017325
IL
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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