LOTUS WAVES, LTD

DECATUR, IL
NPI1639761398
Entity TypeOrganization
Authorized ContactBROOKE ELIZABETH NICOL
President
217-412-3017
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2021-02-04
Last Update Date2021-02-04
Business Address
LOTUS WAVES, LTD
3675 SIMS DR
DECATUR, IL 62526-9203
Phone number: 217-412-3017
Mailing Address
LOTUS WAVES, LTD
3675 SIMS DR
DECATUR, IL 62526-9203
Phone number: 217-412-3017
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