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Individual

GAIL D BONDS CARPENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
741 CEDAR LN, CHICAGO HEIGHTS, IL 60411-2015
(708) 969-7017
Mailing address
741 CEDAR LN, CHICAGO HEIGHTS, IL 60411-2015
(708) 969-7017

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
105.104636
IL
104100000X
Social Worker
Primary
150.104636
IL
104100000X
Social Worker
150104636
IL
104100000X
Social Worker
IL

Other

Enumeration date
10/01/2021
Last updated
10/01/2021
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