Individual
CAROLYN HERSETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3166 N LINCOLN AVE STE 217, CHICAGO, IL 60657-3119
(312) 373-0243
Mailing address
3166 N LINCOLN AVE STE 217, CHICAGO, IL 60657-3119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
150113477
IL
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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