Individual
MS. EMILY KASTRUL CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L..C.S.W.
Contact information
Practice address
1007 MAPLE AVE, EVANSTON, IL 60202-1237
(773) 557-9094
Mailing address
1007 MAPLE AVE, EVANSTON, IL 60202-1237
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149-011107
IL
Other
Enumeration date
01/24/2007
Last updated
05/24/2016
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