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1023849882
BLACK SWAN HEALING LLC
SALEM, OR
NPI
1023849882
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Entity Type
Organization
Authorized Contact
NICHOLAS A MCGEE
Counselor/Owner
360-393-2125
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-08-12
Last Update Date
2024-08-12
Business Address
BLACK SWAN HEALING LLC
2355 STATE ST STE 101
SALEM, OR 97301-4541
Phone number: 971-268-7462
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Mailing Address
BLACK SWAN HEALING LLC
4111 1/2 PARK BLVD
SAN DIEGO, CA 92103-2510
Phone number: 360-393-2125
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