Endicott, Carolyn Sue
Endicott, Carolyn Sue is an sole proprietor health care provider with primary practice located at 2900 Frank Scott Pkwy W Suite 956, Belleville IL 62223-5000. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Endicott, Carolyn Sue can be contacted via phone (618) 233-3273.Contact Information
Primary practice address
2900 Frank Scott Pkwy W Suite 956
Belleville IL 62223-5000
Phone: (618) 233-3273
Fax: (618) 234-7233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149-008683 | Illinois |
Profile Details
| NPI number | 1013135011 |
|---|---|
| LBN Legal business name | Endicott, Carolyn Sue |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Sep 23rd, 2017 - about 7 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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