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Organization
SECOND STORIES THERAPEUTIC INTERVENTIONS
Active
Organization
SECOND STORIES THERAPEUTIC INTERVENTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SYDNEI WOODLY M.A. LCPC (PRESIDENT)
(479) 841-8786
Entity
Organization
Contact information
Practice address
1121 WARREN AVE, 260A, DOWNERS GROVE, IL 60515-3570
(773) 513-9414
Mailing address
1121 WARREN AVE, 260A, DOWNERS GROVE, IL 60515-3570
(773) 513-9414
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178008081
IL
101YP2500X
Professional Counselor
180007268
IL
101YP2500X
Professional Counselor
Primary
180008261
IL
Other
Enumeration date
07/09/2015
Last updated
07/14/2015
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