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Organization
MINDFUL LIVING CENTER - LLC
Active
Organization
MINDFUL LIVING CENTER - LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TSU-YIN CHANG (OWNER)
(617) 804-5852
Entity
Organization
Contact information
Practice address
399 BOYLSTON ST # 900C, BOSTON, MA 02116-3305
(617) 804-5852
Mailing address
399 BOYLSTON ST # 900C, BOSTON, MA 02116-3305
(617) 804-5852
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
121113
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457550725
—
CA
Enumeration date
05/17/2018
Last updated
05/17/2018
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