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Organization
WILLOW TREE PSYCHOTHERAPY
Active
Organization
WILLOW TREE PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH MANAHER LCSW (OWNER/THERAPIST)
(305) 747-2932
Entity
Organization
Contact information
Practice address
1525 E 53RD ST, SUITE 405, CHICAGO, IL 60615-4557
(708) 277-9112
Mailing address
12110 ANN ST, ANN ST, BLUE ISLAND, IL 60406
(305) 747-2932
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149013890
IL
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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