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Organization
BRIDGING LYFE LLC
Active
Organization
BRIDGING LYFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IONA REDMON LCSW (OWNER/CLINICIAN)
(773) 454-8612
Entity
Organization
Contact information
Practice address
2038 E 72ND PL, STE 2, CHICAGO, IL 60649
(770) 624-7406
Mailing address
11 165TH ST, CALUMET CITY, IL 60409-6203
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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