Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 149-007191 | IL |
NPI | 1003175134 |
---|---|
Provider Name | Mrs. Sharon Lynn Carani |
First Address | Sycamore, IL 60178-8728 |
Second Address | Sycamore, IL 60178-3123 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2012 |
Last Update Date | 09/05/2012 |