Stephen B Carter
Social Worker, Clinical in La Grange, IL. Individual provider (NPI-1).
NPI number1376200717
StatusActive
Last updated in NPPESNov 19, 2021
Details
- NPI
- 1376200717
- Entity type
- Individual (NPI-1)
- Name
- Stephen B Carter
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 19, 2021
- Certification date
- Nov 19, 2021
- Last updated
- Nov 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149.023754 | IL | Yes |
Practice location
62 Dover AveLa Grange, IL 60525-5856
Phone 872-888-9798
Mailing address
Po Box 872La Grange, IL 60525-0872
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