Individual
CONSTANCE CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2619 ELISHA AVE, ZION, IL 60099-0603
(847) 746-0400
(847) 746-0403
Mailing address
2619 ELISHA AVE, ZION, IL 60099-0603
(847) 746-0400
(847) 746-0403
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1509-125
WI
101YP2500X
Professional Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43579700
—
WI
Enumeration date
07/06/2006
Last updated
07/08/2007
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