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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI # | 1205690625 |
| LBN Legal business name | ASSEMBLAGE COUNSELING, LLC |
| Authorized official | JOCELYN OTANI - (LICENSED PROFESSIONAL COUNSELOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/07/2024 |
| Last updated | 02/07/2024 - About 2 years ago |
| Identifiers | n/a |
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