Individual
MR. CARL WAYNE KOERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LSW
Contact information
Practice address
10201 W LINCOLN HWY, FRANKFORT, IL 60423-1279
(815) 272-1436
Mailing address
18620 HOMEWOOD AVE, HOMEWOOD, IL 60430-3723
(708) 420-1604
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.105507
IL
Other
Enumeration date
12/03/2021
Last updated
11/07/2024
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