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Organization
IMAGINATION GROVE PLAY THERAPY PLLC
Active
Organization
IMAGINATION GROVE PLAY THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNE DAUBENSPECK (OWNER AND THERAPIST)
(773) 392-6853
Entity
Organization
Contact information
Practice address
3411 W DIVERSEY AVE STE 5-6, CHICAGO, IL 60647-1245
(312) 469-0339
Mailing address
3411 W DIVERSEY AVE STE 5-6, CHICAGO, IL 60647-1245
(312) 469-0339
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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