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1669211082
YOUR GENX THERAPIST LLC
JANESVILLE, WI
NPI
1669211082
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Entity Type
Organization
Authorized Contact
THERESA DOUGLAS
Owner
818-208-4774
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-05-23
Last Update Date
2024-09-12
Business Address
YOUR GENX THERAPIST LLC
4539 WOODGATE DR STE A8
JANESVILLE, WI 53546-8205
Phone number: 818-208-4774
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Mailing Address
YOUR GENX THERAPIST LLC
4348 E PIC A DILLY DR
JANESVILLE, WI 53546-9681
Phone number: 818-468-8276
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