Organization
PETRACORE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE LYNN CLYMER LCSW (OWNER)
(219) 242-1451
Entity
Organization
Contact information
Practice address
1577 RAYMOND DR APT 104, NAPERVILLE, IL 60563-9702
(219) 242-1451
Mailing address
1577 RAYMOND DR APT 104, NAPERVILLE, IL 60563-9702
(219) 242-1451
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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