Organization
360 DEGREES WELLNESS & COACHING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA SHLAIN LCSW (OWNER)
(224) 619-6982
Entity
Organization
Contact information
Practice address
225 E DEERPATH, SUITE 280, LAKE FOREST, IL 60045-1952
(224) 619-6982
Mailing address
225 E DEERPATH, SUITE 280, LAKE FOREST, IL 60045-1952
(224) 619-6982
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.011971
IL
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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