Individual
SARAH DECOSMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
445 E ILLINOIS ST UNIT 4504, CHICAGO, IL 60611-5370
(708) 738-8610
Mailing address
445 E ILLINOIS ST UNIT 4504, CHICAGO, IL 60611-5370
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20043840A
IN
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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