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1174207609
LIVING WATERS THERAPEUTIC ALLIANCE INC
SUFFOLK, VA
NPI
1174207609
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Entity Type
Organization
Authorized Contact
CHARLENA JUDITH CATHERINE CORRELL
Director
757-405-7519
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-06-14
Last Update Date
2024-12-02
Business Address
LIVING WATERS THERAPEUTIC ALLIANCE INC
2570 RIVER WATCH DR
SUFFOLK, VA 23434-8669
Phone number: 757-270-3976
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Mailing Address
LIVING WATERS THERAPEUTIC ALLIANCE INC
2570 RIVER WATCH DR
SUFFOLK, VA 23434-8669
Phone number: 757-270-3976
Copy
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