Individual
ASHLEY BROOKE CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1779 RFD, LONG GROVE, IL 60047-7314
(224) 500-1774
Mailing address
1779 RFD, LONG GROVE, IL 60047-7314
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.005390
IL
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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