Her Sole Purpose | |
3128 Illinois St Lansing IL 60438-3005 | |
(773) 817-8959 | |
Not Available |
Full Name | Her Sole Purpose |
---|---|
Speciality | Social Worker - Clinical |
Location | 3128 Illinois St, Lansing, Illinois |
Authorized Official Name and Position | Tajmar Carter (FOUNDERLICENSED CLINICAL THERAPIST) |
Authorized Official Contact | 7088218610 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Her Sole Purpose 3128 Illinois St Lansing IL 60438-3005 Ph: (773) 817-8959 | Her Sole Purpose 3128 Illinois St Lansing IL 60438-3005 Ph: (773) 817-8959 |
NPI Number | 1295481380 |
---|---|
Provider Enumeration Date | 02/27/2022 |
Last Update Date | 02/27/2022 |
Certification Date | 02/27/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295481380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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