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Organization
WILD HEART THERAPY PLLC
Active
Organization
WILD HEART THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KATHLEEN REAGAN LLC (THERAPIST)
(574) 276-5018
Entity
Organization
Contact information
Practice address
4537 N LEAVITT ST APT 1, CHICAGO, IL 60625-1673
(574) 276-5018
Mailing address
4537 N LEAVITT ST APT 1, CHICAGO, IL 60625-1673
(574) 276-5018
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/18/2025
Last updated
01/18/2025
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