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Organization
UP YOUR GAME COUNSELING PLLC
Active
Organization
UP YOUR GAME COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIE FELDMANN (CREDENTIALING CONTRACTOR)
(773) 789-8934
Entity
Organization
Contact information
Practice address
4250 N MARINE DR STE 200, CHICAGO, IL 60613-1936
(312) 373-0684
Mailing address
4250 N MARINE DR STE 200, CHICAGO, IL 60613-1936
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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