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Organization
HIDDEN GEM THERAPEUTICS
Active
Organization
HIDDEN GEM THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE KROLL LCSW (OWNER/PYSCHOTHERAPIST)
(224) 766-9123
Entity
Organization
Contact information
Practice address
6323 N AVONDALE AVE STE 140, CHICAGO, IL 60631-1958
(708) 665-5491
Mailing address
6323 N AVONDALE AVE STE 140, CHICAGO, IL 60631-1958
(708) 665-5491
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/20/2022
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