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1346084829
WILD FERN CLINICAL THERAPY PLLC
BERWYN, IL
NPI
1346084829
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Entity Type
Organization
Authorized Contact
ELISE JOHNSTON DUMERAUF
Owner
616-212-8957
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2024-06-20
Last Update Date
2024-08-25
Business Address
WILD FERN CLINICAL THERAPY PLLC
3620 WESLEY AVE
BERWYN, IL 60402-3861
Phone number: 616-212-8957
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Mailing Address
WILD FERN CLINICAL THERAPY PLLC
3620 WESLEY AVE
BERWYN, IL 60402-3861
Phone number: 616-212-8957
Copy
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