Individual
CARLY MARIE MELODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 S VINE ST, HINSDALE, IL 60521-4083
(630) 563-0044
Mailing address
3300 MADISON AVE, BROOKFIELD, IL 60513-1231
(630) 802-8599
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
06/13/2022
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