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Organization
THE BLACK SHEEP SANCTUARY PLLC
Active
Organization
THE BLACK SHEEP SANCTUARY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA VANDERPLOW LCSW (MANAGER)
(630) 709-1471
Entity
Organization
Contact information
Practice address
3080 OGDEN AVE STE 104, LISLE, IL 60532-1693
(630) 423-6244
Mailing address
136 TERRACE DR, DEKALB, IL 60115-1936
(630) 709-1471
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
04/02/2025
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