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Organization
MFBSTUDIO INC
Active
Organization
MFBSTUDIO INC
Active
Other names
MFB Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MARY FRANCE BAZAN LCPC (OWNER/ LCPC PROVIDER)
(708) 688-9171
Entity
Organization
Contact information
Practice address
475 W 55TH ST STE 108, COUNTRYSIDE, IL 60525-3565
(708) 688-9171
Mailing address
6055 W 64TH ST, CHICAGO, IL 60638-5307
(773) 710-4428
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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