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Organization
WHOLE SELF COLLECTIVE
Active
Organization
WHOLE SELF COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE PHUNG (MANAGER/OWNER)
(347) 456-7731
Entity
Organization
Contact information
Practice address
275 14TH ST, BROOKLYN, NY 11215-4911
(347) 456-7731
Mailing address
PO BOX 150-424, BROOKLYN, NY 11215
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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