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1942452321
MARTHA E CARLSON
DEKALB, IL
NPI
1942452321
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Former Name
MARTHA ELIZABETH ANDERSEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149014116)
Enumeration Date
2008-10-16
Last Update Date
2010-11-22
Business Address
Mrs. MARTHA E CARLSON LCSW
12 HEALTH SERVICES DR
DEKALB, IL 60115-9637
Phone number: 815-756-4875
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Mailing Address
Mrs. MARTHA E CARLSON LCSW
12 HEALTH SERVICES DR
DEKALB, IL 60115-9637
Phone number: 815-756-4875
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