Organization
DIVERS PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE CLOHISY LCSW (PSYCHOTHERAPIST)
(312) 860-9840
Entity
Organization
Contact information
Practice address
3929 N KOSTNER AVE, CHICAGO, IL 60641-2839
(312) 860-9840
Mailing address
3929 N KOSTNER AVE, CHICAGO, IL 60641-2839
(312) 860-9840
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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