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Organization
MIRACLEWORKS THERAPY & CONSULTING PLLC
Active
Organization
MIRACLEWORKS THERAPY & CONSULTING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRACLE DONIQUE MONTGOMERY LCSW (PSYCHOTHERAPIST)
(310) 849-4786
Entity
Organization
Contact information
Practice address
51 E 14TH ST, CHICAGO, IL 60605-2837
(872) 228-5573
Mailing address
51 E 14TH ST APT 1008, CHICAGO, IL 60605-2998
(310) 849-4786
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/18/2020
Last updated
12/12/2022
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