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1407684319
AD ASTRA THERAPY LLC
ELM GROVE, WI
NPI
1407684319
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Entity Type
Organization
Authorized Contact
JORDAN OLSEN
Sole Owner
913-669-3987
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2024-07-23
Last Update Date
2024-07-23
Business Address
AD ASTRA THERAPY LLC
12425 KNOLL RD STE 110
ELM GROVE, WI 53122-2656
Phone number: 414-502-7900
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Mailing Address
AD ASTRA THERAPY LLC
12425 KNOLL RD STE 110
ELM GROVE, WI 53122-2656
Phone number: 414-502-7900
Copy
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