Carolyn Bonistalli, LCSW

NPI #1144609686 in Western Springs, Illinois

Provider Information

NPI Number: 1144609686
Entity Type: Individual
Name: Carolyn Bonistalli, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: May 28, 2015
Last Updated: Jun 24, 2021

Practice Location

Address: 4806 FAIR ELMS AVE
City: Western Springs
State: Illinois
ZIP Code: 60558-1709
Phone: (708) 732-0654

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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