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Organization
KOPE EXECUTIVE WELLNESS AND PSYCHOTHERAPY
Active
Organization
KOPE EXECUTIVE WELLNESS AND PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORI GRILLO LCSW (PRESIDENT)
(646) 647-7644
Entity
Organization
Contact information
Practice address
2901 NE 33RD AVE APT 1C, FORT LAUDERDALE, FL 33308-7218
(646) 647-7644
Mailing address
2901 NE 33RD AVE APT 1C, FORT LAUDERDALE, FL 33308-7218
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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