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1376200717
STEPHEN B CARTER
LA GRANGE, IL
NPI
1376200717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.023754)
Enumeration Date
2021-11-19
Last Update Date
2021-11-19
Business Address
STEPHEN B CARTER
62 DOVER AVE
LA GRANGE, IL 60525-5856
Phone number: 872-888-9798
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Mailing Address
STEPHEN B CARTER
PO BOX 872
LA GRANGE, IL 60525-0872
Phone number:
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