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Organization
WELL BALANCED MEN PLLC
Active
Organization
WELL BALANCED MEN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXIM MICHAEL ARBUZOV LICSW (MANAGER)
(413) 627-8271
Entity
Organization
Contact information
Practice address
24013 MADACA LN UNIT 202, PORT CHARLOTTE, FL 33954-2807
(413) 627-8271
Mailing address
24013 MADACA LN UNIT 202, PORT CHARLOTTE, FL 33954-2807
(413) 627-8271
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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