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CHICAGO, IL
NPI1356975262
Other NameBREANNE THOMAS
Entity TypeOrganization
Authorized ContactBREANNE NORMAL THOMAS
Owner/Lpc
254-458-3252
Organization Subpart ?No
Primary Taxonomy261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date2020-02-29
Last Update Date2023-11-07
Business Address
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9407 S FOREST AVE
CHICAGO, IL 60619-7311
Phone number: 254-458-3252
Mailing Address
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9407 S FOREST AVE
CHICAGO, IL 60619-7311
Phone number: 254-458-3252