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Organization
WINDING VINE COUNSELING INC
Active
Organization
WINDING VINE COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA D'AVERSA LCSW (PRESIDENT)
(815) 546-1152
Entity
Organization
Contact information
Practice address
1938 E LINCOLN HWY STE 207B, NEW LENOX, IL 60451-3810
(815) 314-4402
Mailing address
309 W NORTH ST, MORRIS, IL 60450-1836
(815) 546-1152
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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