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Organization
HEART & SOUL THERAPIES, PC
Active
Organization
HEART & SOUL THERAPIES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAUREEN A ROSE LCSW (PRESIDENT)
(847) 827-8297
Entity
Organization
Contact information
Practice address
2604 E DEMPSTER ST, SUITE 306, PARK RIDGE, IL 60068-8412
(847) 827-8297
Mailing address
2604 E DEMPSTER ST, SUITE 306, PARK RIDGE, IL 60068-8412
(847) 827-8297
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178-005466
IL
1041C0700X
Clinical Social Worker
Primary
149-002572
IL
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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