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Organization
ORGANIC LIFE BODY WORKS, LLC
Active
Organization
ORGANIC LIFE BODY WORKS, LLC
Active
Other names
Good Life Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE LIGHTFOOT (CEO)
(301) 490-0603
Entity
Organization
Contact information
Practice address
8600 FOUNDRY ST, SAVAGE, MD 20763-9512
(301) 490-0603
(301) 490-0603
Mailing address
8600 FOUNDRY ST, PO BOX 2014, SAVAGE, MD 20763-9512
(301) 490-0603
(301) 490-0603
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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