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1003680711
EMPOWERED VIDA THERAPY
SAN DIEGO, CA
NPI
1003680711
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Entity Type
Organization
Authorized Contact
PAOLA BERG
Therapist
858-707-5148
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2023-11-13
Last Update Date
2023-11-13
Business Address
EMPOWERED VIDA THERAPY
3108 FIFTH AVE STE E
SAN DIEGO, CA 92103-5829
Phone number: 858-707-5148
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Mailing Address
EMPOWERED VIDA THERAPY
3108 FIFTH AVE STE E
SAN DIEGO, CA 92103-5829
Phone number: 858-707-5148
Copy
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