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1538912134
WILD TERRAIN THERAPY LLC
PHOENIX, AZ
NPI
1538912134
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Entity Type
Organization
Authorized Contact
DANIELLE BOSMA
CEO
480-798-2498
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2024-04-11
Last Update Date
2024-04-11
Business Address
WILD TERRAIN THERAPY LLC
11811 N TATUM BLVD
PHOENIX, AZ 85028-1614
Phone number: 480-721-9593
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Mailing Address
WILD TERRAIN THERAPY LLC
PO BOX 31853
PHOENIX, AZ 85046-1853
Phone number: 480-721-9593
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