South Suburban Senior Socialites, INC
NPI #1740421296 in Hazel Crest, Illinois
Provider Information
- NPI Number
- 1740421296
- Entity Type
- Organization
- Organization Name
- South Suburban Senior Socialites, INC
- Primary Specialty
- Psychologist - Group Psychotherapy
- Enumeration Date
- Mar 12, 2009
- Last Updated
- Mar 12, 2009
Practice Location
- Address
- 17303 HAWTHORNE DR
- City
- Hazel Crest
- State
- Illinois
- ZIP Code
- 60429-1838
- Phone
- (708) 466-8853
Authorized Official
- Name
- MRS. MARLAYNA ANTIONETTE WARREN
- Title
- PRESIDENT
- Phone
- (708) 466-8853
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Group Psychotherapy — Group Psychotherapy |
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