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1750018305
FULLY ALIVE THERAPIES LLC
LAKE WORTH, FL
NPI
1750018305
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Entity Type
Organization
Authorized Contact
JITHIN JOSEPH GEORGE
Owner
630-216-9881
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-08-03
Last Update Date
2022-08-03
Business Address
FULLY ALIVE THERAPIES LLC
5128 ARBOR GLEN CIR
LAKE WORTH, FL 33463-8043
Phone number: 630-216-9881
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Mailing Address
FULLY ALIVE THERAPIES LLC
5128 ARBOR GLEN CIR
LAKE WORTH, FL 33463-8043
Phone number: 630-216-9881
Copy
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