Individual
MRS. ANGELA DENICE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
15400 UNIVERSITY, DOLTON, IL 60419
(708) 800-3970
Mailing address
15400 UNIVERSITY, DOLTON, IL 60419
(708) 800-3970
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.006483
IL
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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