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1164039822
INTROSPECTIVE PSYCHOLOGICAL SERVICES, LLC
CHICAGO, IL
NPI
1164039822
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Entity Type
Organization
Authorized Contact
RIELLE JOHNSON
Owner
312-625-9051
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
Enumeration Date
2020-09-28
Last Update Date
2020-09-28
Business Address
INTROSPECTIVE PSYCHOLOGICAL SERVICES, LLC
1502 W CHICAGO AVE # 1
CHICAGO, IL 60642-5236
Phone number: 312-625-9051
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Mailing Address
INTROSPECTIVE PSYCHOLOGICAL SERVICES, LLC
2225 W WARREN BLVD APT 3
CHICAGO, IL 60612-2472
Phone number:
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