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Organization
SHARON L PIETRZAK & ASSOC INC
Active
Organization
SHARON L PIETRZAK & ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON L PIETRZAK MA LCPC (OWNER PRES)
(708) 293-0070
Entity
Organization
Contact information
Practice address
55 E WASHINGTON, SUITE 621 PITTSFIELD BUILDING, CHICAGO, IL 60602
(708) 293-0070
(708) 293-8615
Mailing address
12 BILLY CASPER LANE, MIDLOTHIAN, IL 60445
(708) 293-0070
(708) 293-8615
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623219
BLUE CROSS BLUE SHIELD
IL
01
—
149263
CLIN PSYC
IL
Enumeration date
12/05/2006
Last updated
04/03/2008
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