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1225779374
INNER TIDES COUNSELING, PLLC
CHICAGO, IL
NPI
1225779374
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Entity Type
Organization
Authorized Contact
DARLENE BUNCH
Therapist
872-256-2294
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2022-04-05
Last Update Date
2022-05-03
Business Address
INNER TIDES COUNSELING, PLLC
3216 N DRAKE AVE
CHICAGO, IL 60618-5411
Phone number: 815-280-8434
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Mailing Address
INNER TIDES COUNSELING, PLLC
3216 N DRAKE AVE
CHICAGO, IL 60618-5411
Phone number: 815-280-8434
Copy
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