Individual
JUAN CARBAJAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 S JEFFERSON ST, WOODSTOCK, IL 60098-3437
(815) 338-7360
Mailing address
101 S JEFFERSON ST, WOODSTOCK, IL 60098-3437
(815) 338-7360
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/05/2013
Last updated
05/05/2013
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