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1235891946
CARLY LUSK
CHICAGO, IL
NPI
1235891946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149023828)
Enumeration Date
2021-10-10
Last Update Date
2021-10-10
Business Address
CARLY LUSK LCSW
3811 S WALLACE ST
CHICAGO, IL 60609-1749
Phone number: 804-814-7961
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Mailing Address
CARLY LUSK LCSW
3811 S WALLACE ST
CHICAGO, IL 60609-1749
Phone number: 804-814-7961
Copy
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