Organization
FAMILY SOS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA PETERSEN MENDOZA MS, LMFT (OWNER)
(630) 710-9659
Entity
Organization
Contact information
Practice address
1245 ASBURY CT, ELGIN, IL 60120-2396
(630) 710-9659
Mailing address
1245 ASBURY CT, ELGIN, IL 60120-2396
(630) 710-9659
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.000874
IL
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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