Individual
CARRIE MCWATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MM, LSW, MT-BC
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-2329
Mailing address
6 55TH ST, DOWNERS GROVE, IL 60515-5339
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150110399
IL
225A00000X
Music Therapist
09735
—
Other
Enumeration date
10/20/2020
Last updated
11/04/2024
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