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Organization
RENEW THERAPEUTIC SERVICES
Active
Organization
RENEW THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FELICIA MADLOCK LCSW (OWNER)
(708) 916-5327
Entity
Organization
Contact information
Practice address
10336 S WESTERN AVE STE 1, CHICAGO, IL 60643-2407
(708) 906-5327
(773) 304-3885
Mailing address
430 E 162ND ST STE 109, SOUTH HOLLAND, IL 60473-2258
(708) 916-5327
(773) 304-3885
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
01/23/2020
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