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Organization
EMDR URBAN HEALING CENTER LLC
Active
Organization
EMDR URBAN HEALING CENTER LLC
Active
Other names
Mezame
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MANRIQUE LCSW (OWNER)
(312) 248-1915
Entity
Organization
Contact information
Practice address
3257 N SHEFFIELD AVE STE 110, CHICAGO, IL 60657-2276
(312) 248-1915
(773) 304-9878
Mailing address
3257 N SHEFFIELD AVE STE 110, CHICAGO, IL 60657-2276
(312) 248-1915
(773) 304-9878
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/29/2020
Last updated
12/12/2023
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