Individual
CARLY QUICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
272 E DEERPATH, LAKE FOREST, IL 60045-5314
(773) 430-7576
Mailing address
657 SEDGWICK DR, LIBERTYVILLE, IL 60048-1749
(773) 430-7576
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.013519
IL
1041C0700X
Clinical Social Worker
149013519
IL
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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