Individual
CARLY COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1731 N MARCEY ST, SUITE 510, CHICAGO, IL 60614-5373
(847) 712-2759
Mailing address
1731 N MARCEY ST, SUITE 510, CHICAGO, IL 60614-5373
(847) 712-2759
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150014297
IL
Other
Enumeration date
05/30/2015
Last updated
05/30/2015
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