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1265808612
CHESTER A CAROTHERS
FAIRVIEW HEIGHTS, IL
NPI
1265808612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: IL 149.017330)
Enumeration Date
2015-08-19
Last Update Date
2020-08-25
Business Address
CHESTER A CAROTHERS L.C.S.W.
10314 LINCOLN TRL STE 106
FAIRVIEW HEIGHTS, IL 62208-1801
Phone number: 618-875-9355
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Mailing Address
CHESTER A CAROTHERS L.C.S.W.
PO BOX 6152
EAST SAINT LOUIS, IL 62202-6152
Phone number: 618-875-9355
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