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Organization
RIPTIDE CURRENTS
Active
Organization
RIPTIDE CURRENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN HAUSMANN LCSW (PRACTICE OWNER)
(401) 871-6996
Entity
Organization
Contact information
Practice address
5306 N DAMEN AVE, CHICAGO, IL 60625-1104
(773) 259-2543
Mailing address
433 W BRIAR PL APT 5C, CHICAGO, IL 60657-4762
(401) 871-6996
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/26/2023
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