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General NPI Number Information
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NPI Number | 1144992249
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Entity Type | Organization
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Legal Business Name | SUNFLOWER COUNSELING GROUP, LLC
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Dates
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Enumeration Date | 09/28/2021
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Last Update Date | 09/28/2021
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Provider Practice Location Address
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Address Line | 4318 W SUMMERDALE AVE
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City | CHICAGO
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State | IL
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Zip | 60630-1754
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Country | US
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Telephone | 773-398-0371
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Fax |
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Provider Business Mailing Address
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Address Line | 4318 W SUMMERDALE AVE
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City | CHICAGO
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State | IL
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Zip | 60630-1754
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Country | US
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Telephone | 773-398-0371
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | ANDREA VAROL
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Credential | LCSW
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Telephone | 773-398-0371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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