CARLA R. GUTIERREZ DOMINGUEZ

WAUKEGAN, IL
NPI1104289867
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.018983)
Enumeration Date2016-03-31
Last Update Date2017-01-03
Business Address
Mrs. CARLA R. GUTIERREZ DOMINGUEZ LCSW
671 S LEWIS AVE
WAUKEGAN, IL 60085-6101
Phone number: 847-782-4156
Mailing Address
Mrs. CARLA R. GUTIERREZ DOMINGUEZ LCSW
671 S LEWIS AVE
WAUKEGAN, IL 60085-6101
Phone number: