Organization
SUGAR GROVE WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ANN JOSEPH (LICENSED CLINICAL SOCIAL WORKER)
(630) 306-9990
Entity
Organization
Contact information
Practice address
263 S MAIN STREET, SUGAR GROVE, IL 60554-5491
(630) 306-9990
Mailing address
PO BOX 1102, SUGAR GROVE, IL 60554-1102
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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