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Organization
HOLISTIC THERAPY-MIND, BODY, SPIRIT
Active
Organization
HOLISTIC THERAPY-MIND, BODY, SPIRIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODI PETCHENIK LCSW (OWNER)
(847) 650-4444
Entity
Organization
Contact information
Practice address
770 SKOKIE BLVD UNIT 845, NORTHBROOK, IL 60062-2360
(847) 650-4444
Mailing address
770 SKOKIE BLVD UNIT 845, NORTHBROOK, IL 60062-2360
(847) 650-4444
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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