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Organization

THE THERAPY FARM LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EMILY KALINOWSKI LCSW (OWNER)
(847) 562-6144
Entity
Organization

Contact information

Practice address
25140 HIGHWAY 18 N, TOONE, TN 38381-8114
(847) 562-6144
Mailing address
25140 HIGHWAY 18 N, TOONE, TN 38381-8114
(847) 562-6144

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
225X00000X
Occupational Therapist
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
12/10/2021
Last updated
12/10/2021
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