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Organization
NANCY MITCHELL LCPC LLC
Active
Organization
NANCY MITCHELL LCPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY MITCHELL LCPC (OWNER)
(847) 533-5706
Entity
Organization
Contact information
Practice address
1580 S MILWAUKEE AVE STE 512, LIBERTYVILLE, IL 60048-3776
(847) 533-5706
Mailing address
1416 STEVENSON DR, LIBERTYVILLE, IL 60048-2571
(847) 533-5706
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180005473
IL
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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