Individual
CARLIE YACOBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3067 S LOCK ST, CHICAGO, IL 60608-5557
(815) 370-3998
Mailing address
3067 S LOCK ST, CHICAGO, IL 60608-5557
(815) 370-3998
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/03/2020
Last updated
07/03/2020
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