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Organization
HEARTSOURCE THERAPY PC
Active
Organization
HEARTSOURCE THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GALE NIENHUIS LCSW (PRESIDENT)
(708) 837-3319
Entity
Organization
Contact information
Practice address
33 E COLORADO AVE, FRANKFORT, IL 60423-1385
(708) 837-3319
(815) 469-6481
Mailing address
PO BOX 523, ORLAND PARK, IL 60462-0523
(708) 837-3319
(815) 469-6481
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149014484
IL
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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