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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI Number | 1679830541 |
| LBN Legal business name | AGAPE COUNSELING & THERAPEUTIC SERV, INC |
| Authorized official | TEISHA SPARROW - (CREDENTIALING-AUTHORIZATION SPEC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/17/2012 |
| Last updated | 02/08/2021 - About 5 years ago |
| Identifiers | n/a |
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AGAPE COUNSELING & THERAPEUTIC SERV, INC