{
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"FirstLineMailingAddress": "6977 W OAKTON ST",
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"MailingAddressCityName": "NILES",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "GROW THERAPY",
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"PracticeLocationAddressCityName": "NEW YORK",
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"PracticeLocationAddressTelephoneNumber": "312-585-6513",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/15/2017",
"LastUpdateDate": "05/09/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "166001155",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}