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Organization

PRACTICE WELLNESS FIRST LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY WORDEN CLINICAL PSYCHOLOGIS (PROVIDER)
(847) 410-2029
Entity
Organization

Contact information

Practice address
8170 MCCORMICK BLVD STE 204, SKOKIE, IL 60076-2914
(847) 410-2029
(847) 410-2041
Mailing address
8170 MCCORMICK BLVD STE 204, SKOKIE, IL 60076-2914
(847) 410-2029
(847) 410-2041

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005991
IL

Other

Enumeration date
07/05/2017
Last updated
07/21/2022
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