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Organization
NAUTICAL MILE THERAPY, PLLC
Active
Organization
NAUTICAL MILE THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW HODGE LCSW (OWNER, CLINICAL SOCIAL WORKER)
(563) 581-2333
Entity
Organization
Contact information
Practice address
5547 N RAVENSWOOD AVE # 409, CHICAGO, IL 60640-1125
(563) 581-2333
Mailing address
5547 N RAVENSWOOD AVE # 409, CHICAGO, IL 60640-1125
(563) 581-2333
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/20/2024
Last updated
04/03/2025
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