Individual
CARLY ANN BOSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
444 N NORTHWEST HWY, PARK RIDGE, IL 60068-3263
(630) 269-2886
Mailing address
200 SHORELINE DR, PARK RIDGE, IL 60068-2934
(847) 571-3175
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.015464
IL
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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