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Organization
SARA PHOU LCSW LLC
Active
Organization
SARA PHOU LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA PHOU LCSW (LICENSED CLINICAL SOCIAL WORKER)
(773) 993-2113
Entity
Organization
Contact information
Practice address
5215 N RAVENSWOOD AVE, CHICAGO, IL 60640-1668
(773) 340-0472
Mailing address
2837 W BERWYN AVE APT 1W, CHICAGO, IL 60625-7228
(773) 993-2113
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/20/2024
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