Individual
CARRIE JEANINE WALLACE-ONIFADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
59 FIR ST, PARK FOREST, IL 60466-1706
(708) 692-0922
Mailing address
59 FIR ST, PARK FOREST, IL 60466-1706
(708) 692-0922
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
149028458
IL
Other
Enumeration date
02/08/2020
Last updated
12/30/2025
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