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Organization
JAMIE MIROCHA INC.
Active
Organization
JAMIE MIROCHA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE MIROCHA LCSW (THERAPIST)
(815) 676-4688
Entity
Organization
Contact information
Practice address
24012 W RENWICK ROAD, PLAINFIELD, IL 60544
(815) 676-4688
(815) 676-4498
Mailing address
24012 W RENWICK RD, PLAINFIELD, IL 60544-8731
(815) 676-4688
(815) 676-4498
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
149017464
IL
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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