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Individual

CARLLIE MEEKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3139 N LINCOLN AVE STE 227, CHICAGO, IL 60657-3173
(402) 598-5307
Mailing address
3139 N LINCOLN AVE STE 227, CHICAGO, IL 60657-3173
(402) 598-5307

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150107663
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
150107663
LSW LICENCE NUMBER
IL
Enumeration date
09/19/2022
Last updated
09/19/2022
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