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1558189076
LAVENDER MOON SELF ILLUMINATING COUNSELING SERVICES PLLC
CHICAGO, IL
NPI
1558189076
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Entity Type
Organization
Authorized Contact
TAYLOR QUINN
Owner/Lcpc
708-504-2528
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date
2024-10-02
Last Update Date
2024-10-02
Business Address
LAVENDER MOON SELF ILLUMINATING COUNSELING SERVICES PLLC
1858 W CHICAGO AVE APT 3R
CHICAGO, IL 60622-5547
Phone number: 708-504-2528
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Mailing Address
LAVENDER MOON SELF ILLUMINATING COUNSELING SERVICES PLLC
1858 W CHICAGO AVE APT 3R
CHICAGO, IL 60622-5547
Phone number:
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