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1437815255
AUTHENTIC LIFE LLC
INDEPENDENCE, MO
NPI
1437815255
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Entity Type
Organization
Authorized Contact
LAURIE L CARPENTER
Owner/Therapist
816-381-7690
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2021-11-16
Last Update Date
2022-08-17
Business Address
AUTHENTIC LIFE LLC
224 W MAPLE AVE
INDEPENDENCE, MO 64050-2816
Phone number: 816-381-7690
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Mailing Address
AUTHENTIC LIFE LLC
224 W MAPLE AVE
INDEPENDENCE, MO 64050-2816
Phone number: 816-381-7690
Copy
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