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Organization
PRACTICAL MAGIC HEALING
Active
Organization
PRACTICAL MAGIC HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE COOK LCSW (CLINICAL DIRECTOR)
(773) 242-9427
Entity
Organization
Contact information
Practice address
4711 N BROADWAY ST STE 102, CHICAGO, IL 60640-4908
(773) 234-3212
Mailing address
4711 N BROADWAY ST STE 102, CHICAGO, IL 60640-4908
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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