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Organization
PRACTICAL AUDACITY LLC
Active
Organization
PRACTICAL AUDACITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENA MCDANIEL MED, LCPC (FOUNDER AND THERAPIST)
(318) 547-1823
Entity
Organization
Contact information
Practice address
3530 W PALMER ST APT 2, CHICAGO, IL 60647-3575
(318) 547-1823
Mailing address
3530 W PALMER ST APT 2, CHICAGO, IL 60647-3575
(318) 547-1823
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.010161
IL
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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