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Individual

CHARLOTTE SERE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Contact information

Practice address
1400 E 55TH PL, 615 S, CHICAGO, IL 60637-1876
(773) 752-1926
(773) 752-1926
Mailing address
1400 E 55TH PL, 615 S, CHICAGO, IL 60637-1876
(773) 752-1926
(773) 752-1926

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
149000421
IL

Other

Enumeration date
05/26/2016
Last updated
05/26/2016
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