Mary K Carroll
Mary K Carroll is a Developmental Therapist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2024
Practice location Address checks out
10951 S Campbell AveChicago, IL 60655-1210
Phone: (773) 269-8700
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Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X (IL) |
|---|
Record details
| NPI number | 1831943661 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 17, 2024 |
| Last updated in NPPES | September 16, 2024 |
| Certification date | September 16, 2024 |
| Mailing address | 333 S Desplaines St Apt 505, Chicago, IL 60661-5507 |
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