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Organization
WILD HOPE THERAPY, LLC
Active
Organization
WILD HOPE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE PURDOM LISW (OWNER)
(630) 404-7833
Entity
Organization
Contact information
Practice address
3040 RIVERSIDE DR STE 117, UPPER ARLNGTN, OH 43221-2550
(614) 328-9714
Mailing address
3295 KENMORE RD, SHAKER HEIGHTS, OH 44122-3456
(630) 404-7833
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
1041S0200X
School Social Worker
—
—
Other
Enumeration date
07/28/2020
Last updated
05/24/2023
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