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NPI Code Detail

MEDICARE: CARRIE CUTLER LCSW

MEDICARE: CARRIE CUTLER LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker150-010576IL
21041C0700XClinical Social Worker149-012732IL

General Provider Information

NPI Number : 1447475736
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARRIE CUTLER LCSW
Provider Business Mailing Address
First Line : 1156 W SHURE DR STE 181
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-7803
Country : US
Telephone Number : 847-372-3748
Fax Number :
Provider Business Practice Location Address
First Line : 1156 W SHURE DR STE 181
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-7803
Country : US
Telephone Number : 847-372-3748
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2007
Last Update Date : 03/26/2014

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Directions to “ CARRIE CUTLER LCSW” Practice Location

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