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DENISE PEDROZA SANDOVAL LCPC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENISE SANDOVAL LCPC (OWNER/PSYCHOTHERAPIST)
(708) 955-1522
Entity
Organization

Contact information

Practice address
3245 GROVE AVE STE 103, BERWYN, IL 60402-3475
(708) 955-1522
(708) 400-7939
Mailing address
3245 GROVE AVE STE 103, BERWYN, IL 60402-3475
(708) 955-1522
(708) 400-7939

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
09/12/2019
Last updated
09/12/2019
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