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Organization

GROW UP AND GROW OLD THERAPY PLLC

Active
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Organization

GROW UP AND GROW OLD THERAPY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GRAYSON BREEN LCSW (CLINICAL SOCIAL WORKER)
(630) 991-7128
Entity
Organization

Contact information

Practice address
46 DANADA SQ W UNIT 4144, WHEATON, IL 60189-5704
(630) 991-7128
Mailing address
46 DANADA SQ W UNIT 4144, WHEATON, IL 60189-5704
(630) 991-7128

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—

Other

Enumeration date
09/29/2025
Last updated
09/29/2025
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