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Organization

MIMI LANDAU, INC

Active
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Organization

MIMI LANDAU, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MIRIAM CLARE LANDAU MSW (PRESIDENT)
(773) 860-8114
Entity
Organization

Contact information

Practice address
636 CHURCH ST, SUITE 710, EVANSTON, IL 60201-4508
(773) 860-8114
(847) 256-8146
Mailing address
636 CHURCH ST, SUITE 710, EVANSTON, IL 60201-4508
(773) 860-8114
(847) 256-8146

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—

Other

Enumeration date
09/06/2016
Last updated
09/06/2016
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