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Organization
TIDES OF TOTALITY THERAPEUTICS INC
Active
Organization
TIDES OF TOTALITY THERAPEUTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN WIDING LCSW (CEO)
(815) 505-0110
Entity
Organization
Contact information
Practice address
400 CENTRAL AVE STE 250, NORTHFIELD, IL 60093-3024
(815) 505-0110
Mailing address
1656 WARRINGTON LN, CRYSTAL LAKE, IL 60014-2020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/11/2025
Last updated
01/11/2025
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