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1205129186
BLUE MOON SENIOR COUNSELING
PLAINFIELD, IL
NPI
1205129186
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Entity Type
Organization
Authorized Contact
MELANIE DONOHUE
Owner
702-403-0438
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW8327)
Enumeration Date
2011-05-25
Last Update Date
2021-05-18
Business Address
BLUE MOON SENIOR COUNSELING
10204 BODE ST STE B
PLAINFIELD, IL 60585-9813
Phone number: 855-241-7160
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Mailing Address
BLUE MOON SENIOR COUNSELING
10204 BODE ST STE B
PLAINFIELD, IL 60585-9813
Phone number: 855-241-7160
Copy
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