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Organization
GRO CLINICAL SERVICES LLC
Active
Organization
GRO CLINICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON MALLORY LCSW (PRESIDENT)
(618) 203-4368
Entity
Organization
Contact information
Practice address
259 E 115TH ST, CHICAGO, IL 60628-5014
(773) 253-8385
Mailing address
259 E 115TH ST, CHICAGO, IL 60628-5014
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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