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1639933732
MIND LODGE
PLAINFIELD, IL
NPI
1639933732
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Entity Type
Organization
Authorized Contact
ANGELA OLSON
Practice Owner
815-200-1099
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-02-08
Last Update Date
2024-05-21
Business Address
MIND LODGE
24014 W RENWICK RD STE 105-5
PLAINFIELD, IL 60544-8708
Phone number: 815-200-1099
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Mailing Address
MIND LODGE
13855 S PETERSBURG DR
PLAINFIELD, IL 60544-7078
Phone number: 815-200-1099
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