Wild Fern Clinical Therapy Pllc
NPI #1346084829 in Berwyn, Illinois
Provider Information
- NPI Number
- 1346084829
- Entity Type
- Organization
- Organization Name
- Wild Fern Clinical Therapy Pllc
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jun 20, 2024
- Last Updated
- Aug 25, 2024
Practice Location
Authorized Official
- Name
- ELISE JOHNSTON DUMERAUF, LCSW
- Title
- OWNER
- Phone
- (616) 212-8957
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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