Individual
CARRIE PETRELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1803 E BASSWOOD LN, MOUNT PROSPECT, IL 60056-1809
(773) 620-0128
Mailing address
1803 E BASSWOOD LN, MOUNT PROSPECT, IL 60056-1809
(773) 620-0128
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149024332
IL
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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