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Organization
LIFE STAGES THERAPEUTIC SERVICES LLC
Active
Organization
LIFE STAGES THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM APOSTOLOVICH (OWNER)
(773) 315-2810
Entity
Organization
Contact information
Practice address
163 E JACKSON ST, ELMHURST, IL 60126
(773) 315-2810
Mailing address
163 E JACKSON ST, ELMHURST, IL 60126-5145
(773) 315-2810
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.018975
IL
Other
Enumeration date
07/24/2018
Last updated
08/17/2018
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