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Organization
OPEN EYES OPEN HEART PSYCHOTHERAPY PLLC
Active
Organization
OPEN EYES OPEN HEART PSYCHOTHERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH DEITEMYER LCSW (OWNER/LCSW)
(312) 529-0679
Entity
Organization
Contact information
Practice address
2555 W CATALPA AVE APT 1C, CHICAGO, IL 60625-6708
(312) 529-0679
Mailing address
2501 CHATHAM RD STE R, SPRINGFIELD, IL 62704-4188
(312) 529-0679
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/25/2024
Last updated
05/25/2024
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