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1629817523
LIFE MADE KRYSTAL CLEAR LLC
CHICAGO, IL
NPI
1629817523
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Entity Type
Organization
Authorized Contact
KRYSTAL FOWLKES
Child & Family Therapist
312-933-3167
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2024-05-21
Last Update Date
2024-05-21
Business Address
LIFE MADE KRYSTAL CLEAR LLC
2045 W GRAND AVE STE B
CHICAGO, IL 60612-1577
Phone number: 312-933-3167
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Mailing Address
LIFE MADE KRYSTAL CLEAR LLC
2045 W GRAND AVE STE B
CHICAGO, IL 60612-1577
Phone number:
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