Individual
CARLINA HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11447 2ND ST STE 9A&9B, ROSCOE, IL 61073-9522
(815) 601-4673
Mailing address
409 S 1ST ST APT 6, ROCKFORD, IL 61104-2067
(815) 520-9954
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149023125
IL
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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