MRS. Theresa Krueger De Carli, LCSW

NPI #1629586508 in Niles, Illinois

Provider Information

NPI Number: 1629586508
Entity Type: Individual
Name: MRS. Theresa Krueger De Carli, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jan 13, 2018
Last Updated: Jan 13, 2018

Practice Location

Address: 7500 W JONQUIL TER
City: Niles
State: Illinois
ZIP Code: 60714-3106
Phone: (847) 922-9616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary
Social Worker	104100000X

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