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1457080301
INNERBLOOM THERAPY PRACTICE PC
CHICAGO, IL
NPI
1457080301
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Entity Type
Organization
Authorized Contact
DENISE LYNN GULOTTA
President
773-969-6030
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2022-06-07
Last Update Date
2023-08-08
Business Address
INNERBLOOM THERAPY PRACTICE PC
2656 W MONTROSE AVENUE SUITE 104
CHICAGO, IL 60618
Phone number: 773-969-6030
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Mailing Address
INNERBLOOM THERAPY PRACTICE PC
1235 N CLYBOURN AVE SUITE A BOX 222
CHICAGO, IL 60610
Phone number: 773-969-6030
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