MRS. Carla R. Gutierrez Dominguez, LCSW

NPI #1104289867 in Waukegan, Illinois

Provider Information

NPI Number
1104289867
Entity Type
Individual
Name
MRS. Carla R. Gutierrez Dominguez, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Mar 31, 2016
Last Updated
Jan 3, 2017

Practice Location

Address
671 S LEWIS AVE
ZIP Code
60085-6101
Phone
(847) 782-4156

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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