Individual
DR. CAROL ARLENE MOSES-ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, PSYD
Contact information
Practice address
110 E 79TH ST, CHICAGO, IL 60619-2302
(773) 562-5923
(773) 288-0479
Mailing address
7430 S PAXTON AVE, CHICAGO, IL 60649-3215
(773) 288-0479
(773) 288-0479
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
20042064A
IN
103TC0700X
Clinical Psychologist
Primary
071.007855
IL
1041C0700X
Clinical Social Worker
149.004604
IL
Other
Enumeration date
10/14/2008
Last updated
02/24/2010
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