OMEGA LASTER

CHICAGO, IL
NPI1073801452
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  17601)
Enumeration Date2011-07-19
Last Update Date2011-07-19
Business Address
-- OMEGA LASTER CADC
4740 N CLARK ST
CHICAGO, IL 60640-4689
Phone number: 773-769-0205
Mailing Address
-- OMEGA LASTER CADC
4740 N CLARK ST
CHICAGO, IL 60640-4689
Phone number: 773-769-0205
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