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Organization
PATHWAY TO PEACE NFP
Active
Organization
PATHWAY TO PEACE NFP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDORIA C STOREY MSW, LCSW,PHD (THERAPIST)
(312) 898-7358
Entity
Organization
Contact information
Practice address
9510 S CONSTANCE AVE STE C-6, CHICAGO, IL 60617-4700
(312) 898-7358
(312) 444-0793
Mailing address
23831 S KURT LN, CRETE, IL 60417-1737
(312) 898-7358
(312) 444-0793
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32264879201
—
IL
Enumeration date
03/11/2014
Last updated
08/07/2019
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