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Organization
LIFE TIDE THERAPY, LLC
Active
Organization
LIFE TIDE THERAPY, LLC
Active
Other names
Danielle A Haynes
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE A HAYNES LICSW (LICSW)
(857) 302-4902
Entity
Organization
Contact information
Practice address
54 HIGH ST, CHARLESTOWN, MA 02129-3377
(603) 520-6388
Mailing address
54 HIGH ST, CHARLESTOWN, MA 02129-3377
(603) 520-6388
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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