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1144609686
CAROLYN BONISTALLI
WESTERN SPRINGS, IL
NPI
1144609686
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149017041)
Enumeration Date
2015-05-28
Last Update Date
2021-06-24
Business Address
CAROLYN BONISTALLI LCSW
4806 FAIR ELMS AVE
WESTERN SPRINGS, IL 60558-1709
Phone number: 708-732-0654
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Mailing Address
CAROLYN BONISTALLI LCSW
4806 FAIR ELMS AVE
WESTERN SPRINGS, IL 60558-1709
Phone number: 708-732-0654
Copy
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