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Organization
WATERSHED WELLNESS LLC
Active
Organization
WATERSHED WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHTON MARIE LOFGREEN PH.D. (CLINICAL PSYCHOLOGIST/OWNER)
(773) 831-5700
Entity
Organization
Contact information
Practice address
579 N 1ST BANK DR STE 150, PALATINE, IL 60067-8102
(737) 831-5700
(847) 907-9994
Mailing address
579 N 1ST BANK DR STE 150, PALATINE, IL 60067-8102
(737) 831-5700
(847) 907-9994
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071009227
IL
Other
Enumeration date
08/30/2018
Last updated
12/13/2021
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