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1417629353
BLUE WILLOW THERAPY, LLC
CHICAGO, IL
NPI
1417629353
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Entity Type
Organization
Authorized Contact
TANEKA TAYLOR
Clinical Therapist
217-691-2760
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date
2021-09-29
Last Update Date
2021-12-20
Business Address
BLUE WILLOW THERAPY, LLC
2343 W WINONA ST
CHICAGO, IL 60625-1853
Phone number: 217-691-2760
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Mailing Address
BLUE WILLOW THERAPY, LLC
2343 W WINONA ST APT 2E
CHICAGO, IL 60625-1853
Phone number: 217-691-2760
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