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Organization
THERAPEDIATRICS, LLC
Active
Organization
THERAPEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILARY DAVIS MFT, LPC (MARRIAGE & FAMILY THERAPIST)
(773) 450-4541
Entity
Organization
Contact information
Practice address
200 N FAIRWAY DR STE 208, VERNON HILLS, IL 60061-1803
(847) 996-6666
Mailing address
200 N FAIRWAY DR STE 208, VERNON HILLS, IL 60061-1803
(847) 996-6666
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.004942
IL
106H00000X
Marriage & Family Therapist
166.000652
IL
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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