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Organization
THE HUMBLE HAVEN CHICAGO
Active
Organization
THE HUMBLE HAVEN CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA ROSE SHOTSBERGER LCSW (CEO/ CFO)
(312) 834-7440
Entity
Organization
Contact information
Practice address
4949 FOREST AVE STE 2, DOWNERS GROVE, IL 60515-3580
(312) 927-1830
Mailing address
3707 W CULLOM AVE UNIT 1, CHICAGO, IL 60618-2004
(312) 927-1830
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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