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1093546152
BLUE WATER THERAPISTS, PLLC
CANYON LAKE, TX
NPI
1093546152
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Entity Type
Organization
Authorized Contact
JILL MARIE INGERSOLL
Managing Member
830-730-2705
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
Enumeration Date
2024-08-12
Last Update Date
2024-08-12
Business Address
BLUE WATER THERAPISTS, PLLC
1010 BLUE WATER DR
CANYON LAKE, TX 78133-5584
Phone number: 830-730-2705
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Mailing Address
BLUE WATER THERAPISTS, PLLC
1010 BLUE WATER DR
CANYON LAKE, TX 78133-5584
Phone number: 808-489-5438
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