Earley, Charlene R

Earley, Charlene R is an sole proprietor health care provider with primary practice located at 475 Brown Blvd Ste 101 , Bourbonnais IL 60914-2325. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Earley, Charlene R can be contacted via phone (708) 284-1255.

Contact Information

Primary practice address
475 Brown Blvd Ste 101 Bourbonnais IL 60914-2325
Phone: (708) 284-1255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149008867 Illinois

Profile Details

NPI number 1215095567
LBN Legal business name Earley, Charlene R
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Mar 19th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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