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Organization
MINDFUL MOSAIC THERAPY, LLC
Active
Organization
MINDFUL MOSAIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER AREVALO LCSW (OWNER/THERAPIST)
(850) 629-8242
Entity
Organization
Contact information
Practice address
157 HAMPTON POINT DR STE 1, ST AUGUSTINE, FL 32092-3054
(850) 629-8242
Mailing address
246 CASA SEVILLA AVE, ST AUGUSTINE, FL 32092-4720
(850) 629-8242
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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