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1013663996
CRESCENT MOON THERAPY, LLC
PARK RIDGE, IL
NPI
1013663996
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Entity Type
Organization
Authorized Contact
STEPHANIE DEFILIPPIS
Licensed Clinical Social Worker
847-975-5128
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2022-03-01
Last Update Date
2023-02-06
Business Address
CRESCENT MOON THERAPY, LLC
1123 FORTUNA AVE
PARK RIDGE, IL 60068-1956
Phone number: 847-975-5128
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Mailing Address
CRESCENT MOON THERAPY, LLC
1123 FORTUNA AVE
PARK RIDGE, IL 60068-1956
Phone number: 847-975-5128
Copy
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