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Organization
YOUR AUTISTIC THERAPIST PC
Active
Organization
YOUR AUTISTIC THERAPIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE COOK LCSW (OWNER)
(773) 242-9427
Entity
Organization
Contact information
Practice address
5655 N WAYNE AVE APT 1S, CHICAGO, IL 60660-5543
(773) 242-9427
Mailing address
1055 W BRYN MAWR AVE STE F, CHICAGO, IL 60660-4692
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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