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1265938302
CAROL CLARK
CHICAGO, IL
NPI
1265938302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL 26825)
Enumeration Date
2018-04-05
Last Update Date
2018-04-05
Business Address
Ms. CAROL CLARK CADC
2311 E 98TH ST
CHICAGO, IL 60617-4842
Phone number: 773-785-4955
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Mailing Address
Ms. CAROL CLARK CADC
222 S JEFFERSON ST
CHICAGO, IL 60661-5603
Phone number: 312-441-9009
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