Individual
CARLY FISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 CENTRAL AVE, NORTHFIELD, IL 60093-3006
(847) 441-5600
Mailing address
2050 VALENCIA DR, NORTHBROOK, IL 60062-7057
(847) 525-4990
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
150.105288
IL
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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