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1265180285
INTENTIONAL LIFE THERAPY
BOWLING GREEN, OH
NPI
1265180285
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Entity Type
Organization
Authorized Contact
NICOLE FLORES-MCCUNE
Owner/Provider
419-913-4255
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2022-03-17
Last Update Date
2022-04-25
Business Address
INTENTIONAL LIFE THERAPY
10951 E GYPSY LANE RD
BOWLING GREEN, OH 43402-9565
Phone number: 419-913-4255
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Mailing Address
INTENTIONAL LIFE THERAPY
9895 HUFFMAN RD
PORTAGE, OH 43451-9739
Phone number: 419-913-4255
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