Individual
CIARA VALISE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7227 MADISON ST, FOREST PARK, IL 60130-1726
(773) 774-4444
Mailing address
30W210 HUNTINGTON DR, WARRENVILLE, IL 60555-1007
(630) 399-9576
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149023238
IL
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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