Organization
MARIPOSA PSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA MARIE CORIA-MACIAS PSY.D (LICENSED CLINICAL PSYCHOLOGIST)
(773) 365-8393
Entity
Organization
Contact information
Practice address
7620 W 159TH ST STE 108, ORLAND PARK, IL 60462-5400
(773) 546-8261
Mailing address
7620 W 159TH ST STE 108, ORLAND PARK, IL 60462-5400
(708) 365-8393
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/25/2023
Last updated
06/04/2023
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