Mizani Therapeutic Services, LLC
NPI #1013749399 in Springfield, Illinois
Provider Information
- NPI Number
- 1013749399
- Entity Type
- Organization
- Organization Name
- Mizani Therapeutic Services, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Aug 15, 2024
- Last Updated
- Sep 4, 2024
Practice Location
- Address
- 2501 CHATHAM RD # 5051
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-4188
- Phone
- (773) 916-6513
Authorized Official
- Name
- CHLOE S. GLISPIE- GOGINS
- Title
- CEO
- Phone
- (773) 916-6513
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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