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Organization
LIVING COLOR WELLNESS LLC
Active
Organization
LIVING COLOR WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE I MILLER LCSW, PMH-C (OWNER/ CEO)
(312) 972-8605
Entity
Organization
Contact information
Practice address
14958 W CYRUS DR, MANHATTAN, IL 60442-7749
(312) 972-8605
Mailing address
PO BOX 645, MANHATTAN, IL 60442-0645
(312) 972-8605
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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