Individual
MRS. CAROLEN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1100 LAKE ST, OAK PARK, IL 60301-1015
(708) 227-2055
Mailing address
1132 W LUNT AVE APT 7A, CHICAGO, IL 60626-3573
(708) 227-2055
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.004211
IL
Other
Enumeration date
05/18/2007
Last updated
09/19/2022
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