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BURR RIDGE, IL
NPI1679205439
Entity TypeOrganization
Authorized ContactROBERT FOREMAN
Credentialing
630-313-0069
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-06-29
Last Update Date2023-08-17
Business Address
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11S270 S JACKSON ST STE 101
BURR RIDGE, IL 60527-6823
Phone number: 618-401-7140
Mailing Address
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9138 SHERMAN AVE
BROOKFIELD, IL 60513-1547
Phone number: 618-401-7140
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