INNER SPARK THERAPY LLC

COOS BAY, OR
NPI1295519312
Entity TypeOrganization
Authorized ContactCORINA DAUGHERTY CALHOUN
Owner, Therapist
971-266-4355
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2023-08-21
Last Update Date2023-08-21
Business Address
INNER SPARK THERAPY LLC
134 S WASSON ST
COOS BAY, OR 97420-3235
Phone number: 971-266-4355
Mailing Address
INNER SPARK THERAPY LLC
1995 NEWMARK AVE # 1012
COOS BAY, OR 97420-4727
Phone number:
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