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Individual

EMILY RACHEL SEGAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATR, LCPC

Contact information

Practice address
500 BROWN BLVD, BOURBONNAIS, IL 60914-2328
(815) 214-9766
Mailing address
2037 W MORSE AVE APT 1, CHICAGO, IL 60645-4984
(847) 404-5747

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.011549
IL
221700000X
Art Therapist
17-244
IL

Other

Enumeration date
05/04/2020
Last updated
05/04/2020
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