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Organization
NORTHWEST TREATMENT ASSOCIATES INC
Active
Organization
NORTHWEST TREATMENT ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIA ELLEN FLEMING (OFFICE MANAGER)
(847) 608-8570
Entity
Organization
Contact information
Practice address
645 MCHENRY AVE, WOODSTOCK, IL 60098-2922
(815) 337-1234
Mailing address
645 MCHENRY AVE, WOODSTOCK, IL 60098-2922
(815) 337-1234
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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