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Organization

GRAVITY AND GRACE PSYCHOTHERAPY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDIE HITCHCOCK LPC (OWNER)
(440) 417-2514
Entity
Organization

Contact information

Practice address
1305 S MICHIGAN AVE APT 602, CHICAGO, IL 60605-3398
(440) 417-2514
Mailing address
1305 S MICHIGAN AVE APT 602, CHICAGO, IL 60605-3398
(440) 417-2514

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
11/02/2020
Last updated
11/02/2020
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