Organization
GINA BALDACCI, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA BALDACCI LCSW (OWNER PSYCHOTHERAPIST)
(773) 732-2985
Entity
Organization
Contact information
Practice address
231 LONGRIDGE DR, BLOOMINGDALE, IL 60108
(847) 450-7770
Mailing address
231 LONGRIDGE DR, BLOOMINGDALE, IL 60108-1417
(773) 732-2985
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/24/2020
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