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Organization
NORTH SHORE DANCE THERAPY, INC.
Active
Organization
NORTH SHORE DANCE THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERICA JOY HORNTHAL MA, LCPC, BC-DMT (CEO/PSYCHOTHERAPIST)
(847) 848-0697
Entity
Organization
Contact information
Practice address
1516 GREENWOOD AVE, DEERFIELD, IL 60015-2714
(847) 848-0697
Mailing address
1516 GREENWOOD AVE, DEERFIELD, IL 60015-2714
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.007870
IL
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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