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Organization
MADELINE HAYNES PSYCHOTHERAPY
Active
Organization
MADELINE HAYNES PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADELINE HAYNES (OWNER)
(847) 899-1367
Entity
Organization
Contact information
Practice address
1904 W CULLOM AVE APT 2, CHICAGO, IL 60613-6713
(331) 888-2855
Mailing address
1904 W CULLOM AVE APT 2, CHICAGO, IL 60613-6713
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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