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Organization
SUE BLOMBERG, LCPC, LLC
Active
Organization
SUE BLOMBERG, LCPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE BLOMBERG LCPC (OWNER)
(847) 778-9001
Entity
Organization
Contact information
Practice address
1040 CHESTNUT AVE, WILMETTE, IL 60091-1732
(847) 778-9001
Mailing address
4765 N LINCOLN AVE, SUITE 209, CHICAGO, IL 60625-2077
(847) 778-9001
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180008011
IL
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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