| NPI | 1821755158 |
|---|---|
| Other Name | GROWING STAGES MARRIAGE AND FAMILY THERAPY PLLC |
| Entity Type | Organization |
| Authorized Contact | SHERLY RAYMOND Provider 347-278-1044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2021-11-22 |