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1700470663
THERAPY DISTINCT LLC
PALMER, AK
NPI
1700470663
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Entity Type
Organization
Authorized Contact
CHELSA DORMAN
Sole Member
907-231-6151
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center Adult Mental Health
Enumeration Date
2021-02-22
Last Update Date
2021-02-22
Business Address
THERAPY DISTINCT LLC
4786 N SANDRA J CIR
PALMER, AK 99645-7912
Phone number: 907-231-6151
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Mailing Address
THERAPY DISTINCT LLC
4786 N SANDRA J CIR
PALMER, AK 99645-7912
Phone number: 907-231-6151
Copy
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