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1396573465
LAVENDER HOPE, PLLC
BOURBONNAIS, IL
NPI
1396573465
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Entity Type
Organization
Authorized Contact
EMILY BENSON
Owner
810-223-8374
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date
2024-07-22
Last Update Date
2024-07-22
Business Address
LAVENDER HOPE, PLLC
1190 VANTAGE LN
BOURBONNAIS, IL 60914-3518
Phone number: 815-348-5540
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Mailing Address
LAVENDER HOPE, PLLC
1190 VANTAGE LN
BOURBONNAIS, IL 60914-3518
Phone number: 815-348-5540
Copy
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