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Organization
THE CENTER FOR JEWISH ADOLESCENT THERAPY
Active
Organization
THE CENTER FOR JEWISH ADOLESCENT THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI J NEWMAN BA CPC (ADMINISTRATOR)
(708) 560-6653
Entity
Organization
Contact information
Practice address
3557 W PETERSON AVE, SUITE 128, CHICAGO, IL 60659-3218
(917) 541-2740
Mailing address
3557 W PETERSON AVE, SUITE 128, CHICAGO, IL 60659-3218
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149015020
IL
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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