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1972381846
LIFESTREAM THERAPY, LLC
MESA, AZ
NPI
1972381846
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Entity Type
Organization
Authorized Contact
ROBERT SCOTT GMINDER
Owner
951-448-7035
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-09-20
Last Update Date
2023-09-20
Business Address
LIFESTREAM THERAPY, LLC
10162 E OLLA AVE
MESA, AZ 85212-2378
Phone number: 951-448-7035
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Mailing Address
LIFESTREAM THERAPY, LLC
23520 MARBLEHEAD CIR
CANYON LAKE, CA 92587-7706
Phone number: 951-448-7035
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