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1891487062
AWAKE FOR LIFE, LLC
PRESCOTT, AZ
NPI
1891487062
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Entity Type
Organization
Authorized Contact
NANCY GERLACH
Owner
928-707-1841
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2023-05-24
Last Update Date
2023-05-24
Business Address
AWAKE FOR LIFE, LLC
143 N MCCORMICK ST STE 103
PRESCOTT, AZ 86301-2725
Phone number: 928-707-1841
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Mailing Address
AWAKE FOR LIFE, LLC
143 N MCCORMICK ST STE 103
PRESCOTT, AZ 86301-2725
Phone number: 928-707-1841
Copy
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