Grassroots Therapy Group LLC

NPI #1245982461 in Montgomery, Illinois

Provider Information

NPI Number: 1245982461
Entity Type: Organization
Organization Name: Grassroots Therapy Group LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 19, 2022
Last Updated: Jan 19, 2022

Practice Location

Address: 2167 REBECCA CIR
City: Montgomery
State: Illinois
ZIP Code: 60538-5008
Phone: (630) 803-4847

Authorized Official

Name: JACLYN HARWEY
Title: OWNER/THERAPIST
Phone: (630) 803-4847

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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