Individual
KRISTEN RAE CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1118 E MAIN ST # 2A, ST CHARLES, IL 60174-2260
(815) 529-6074
Mailing address
200 LAKESIDE CT APT 1424, ST CHARLES, IL 60174-7932
(815) 529-6074
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.107572
IL
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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