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Organization
MIND BALANCE, INC
Active
Organization
MIND BALANCE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE LAWRENCE (CEO)
(708) 834-0909
Entity
Organization
Contact information
Practice address
115 N MARION ST, SUITE 1, OAK PARK, IL 60301-1503
(708) 834-0909
Mailing address
115 N MARION ST, SUITE 1, OAK PARK, IL 60301-1503
(708) 834-0909
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180009210
IL
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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