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Organization
MIND & BODY BALANCE, LLC
Active
Organization
MIND & BODY BALANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE FLOM (SOCIAL WORKER)
(773) 403-5149
Entity
Organization
Contact information
Practice address
1300 W BELMONT AVE STE 407, CHICAGO, IL 60657-3242
(773) 403-5149
Mailing address
4443 N RICHMOND ST, CHICAGO, IL 60625-3823
(773) 403-5149
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149010662
IL
Other
Enumeration date
06/17/2010
Last updated
11/02/2015
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