| Mary Carlton Lcsw, Pllc | |
|
5331 W Windsor Ave Apt 2 Chicago IL 60630-3876 | |
| (312) 771-6648 | |
| Not Available |
| Full Name | Mary Carlton Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5331 W Windsor Ave Apt 2, Chicago, Illinois |
| Authorized Official Name and Position | Mary E Carlton (DIRECTOR) |
| Authorized Official Contact | 3127716648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Carlton Lcsw, Pllc 2501 Chatham Rd Ste N Springfield IL 62704-4188 Ph: (312) 771-6648 | Mary Carlton Lcsw, Pllc 5331 W Windsor Ave Apt 2 Chicago IL 60630-3876 Ph: (312) 771-6648 |
| NPI Number | 1871201400 |
|---|---|
| Provider Enumeration Date | 11/14/2022 |
| Last Update Date | 11/14/2022 |
| Certification Date | 11/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871201400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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