Individual
MR. CARLOS JORGE ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
110 S JOHNSON ST, SUITE 212, WOODSTOCK, IL 60098-3259
(815) 206-0445
(815) 206-1056
Mailing address
110 S JOHNSON ST, SUITE 212, WOODSTOCK, IL 60098-3259
(815) 206-0445
(815) 206-1056
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.011623
IL
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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