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Organization
ROOT & BLOOM LLC
Active
Organization
ROOT & BLOOM LLC
Active
Other names
Lana Standard Psychotherapy
Organization subpart
No
Provider details
NPI number
Authorized official
LANA STANDARD LCSW (OWNER, PSYCHOTHERAPIST)
(309) 337-1362
Entity
Organization
Contact information
Practice address
313 S MAPLE AVE APT 2, OAK PARK, IL 60302-5511
(309) 337-1362
Mailing address
313 S MAPLE AVE APT 2, OAK PARK, IL 60302-5511
(309) 337-1362
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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