Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI Number | 1316692114 |
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| LBN Legal business name | MDM THERAPY AND CONSULTING SERVICES, LLC | ||||
| Authorized official | SONIA HORWITZ - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 02/21/2022 | ||||
| Last updated | 02/21/2022 - About 4 years ago | ||||
| Identifiers |
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