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1063592608
ESSENTIAL LIFE THERAPIES INC
ROANOKE, VA
NPI
1063592608
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Entity Type
Organization
Authorized Contact
JACKIE C CLAXTON
President
540-989-0315
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
Enumeration Date
2006-10-17
Last Update Date
2010-06-23
Business Address
ESSENTIAL LIFE THERAPIES INC
5507 DOWNING ST
ROANOKE, VA 24018-8704
Phone number: 540-989-0315
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Mailing Address
ESSENTIAL LIFE THERAPIES INC
PO BOX 4127
ROANOKE, VA 24015-0127
Phone number: 540-981-9394
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