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Individual

MRS. PATRICIA MACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
2100 MANCHESTER ROAD, WHEATON, IL 60187-4593
(630) 880-8445
(630) 953-2559
Mailing address
544 S HIGHLAND AVE, LOMBARD, IL 60148-3053
(630) 880-8445
(630) 953-2559

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.000595
IL

Other

Enumeration date
01/21/2010
Last updated
05/04/2021
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