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Organization
SOUTH SHORE BEHAVIORAL CONSULTANTS
Active
Organization
SOUTH SHORE BEHAVIORAL CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANETTA PITTMAN QMHP (VICE PRESIDENT)
(708) 333-0045
Entity
Organization
Contact information
Practice address
369 EAST 147TH STREET SUITE E, HARVEY, IL 60426
(708) 333-0045
(708) 333-0053
Mailing address
369 E 147TH ST STE E, HARVEY, IL 60426-2593
(708) 333-0045
(708) 333-0053
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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