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1194408500
ILLUMINATE LIFE THERAPY, LLC
ANKENY, IA
NPI
1194408500
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Entity Type
Organization
Authorized Contact
CAROLYN HOLLISTER
Owner
515-520-8164
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2023-08-11
Last Update Date
2023-08-16
Business Address
ILLUMINATE LIFE THERAPY, LLC
1605 N ANKENY BLVD STE 110
ANKENY, IA 50023-4163
Phone number: 515-520-8164
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Mailing Address
ILLUMINATE LIFE THERAPY, LLC
1605 N ANKENY BLVD STE 110
ANKENY, IA 50023-4163
Phone number:
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