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1326800988
BOOM WELLNESS PLLC
CHICAGO, IL
NPI
1326800988
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Entity Type
Organization
Authorized Contact
JAMIKA WALTON
Owner
312-574-0025
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2024-01-29
Last Update Date
2024-01-29
Business Address
BOOM WELLNESS PLLC
4328 S FAIRFIELD AVE
CHICAGO, IL 60632-1223
Phone number: 219-617-9162
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Mailing Address
BOOM WELLNESS PLLC
4328 S FAIRFIELD AVE
CHICAGO, IL 60632-1223
Phone number: 219-617-9162
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