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Organization
MOSAIC THERAPY INC
Active
Organization
MOSAIC THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VERONICA VYAZOVSKY LPC (PRESIDENT)
(312) 799-9351
Entity
Organization
Contact information
Practice address
4700 OLD ORCHARD RD, APT 211, SKOKIE, IL 60076-1061
(312) 799-9351
Mailing address
4700 OLD ORCHARD RD, APT 211, SKOKIE, IL 60076-1061
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180007758
IL
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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