Chester A Carothers JR., L.C.S.W.
NPI #1265808612 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1265808612
- Entity Type
- Individual
- Name
- Chester A Carothers JR., L.C.S.W.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- L.C.S.W.
- Enumeration Date
- Aug 19, 2015
- Last Updated
- Aug 25, 2020
Practice Location
- Address
- 10314 LINCOLN TRL STE 106
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208-1801
- Phone
- (618) 875-9355
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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