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Organization
RESTORATIVE LIFE SERVICES, LLC
Active
Organization
RESTORATIVE LIFE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHANA COOPER LCSW, D.MIN (OWNER)
(773) 726-9775
Entity
Organization
Contact information
Practice address
169624 GOVERNORS HIGHWAY, FLOSSMOOR, IL 60422
(773) 412-5260
Mailing address
4553 S MICHIGAN AVE, CHICAGO, IL 60653-3997
(773) 726-9775
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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