Individual
CARLA MARQUINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1448 N MILWAUKEE AVE STE 205, CHICAGO, IL 60622-9225
(312) 476-9064
Mailing address
556 E 115TH ST, CHICAGO, IL 60628-5740
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001078
IL
Other
Enumeration date
08/25/2016
Last updated
10/19/2016
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