Individual
CAROLYN WASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 S MAIN ST UNIT A, ELBURN, IL 60119-9194
(217) 471-4229
Mailing address
21 S MAIN ST UNIT A, ELBURN, IL 60119-9194
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.105669
IL
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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