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Organization
WHOLE CHILD MIND-BODY WELLNESS LLC
Active
Organization
WHOLE CHILD MIND-BODY WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA HENDRICKSON PHD, LCSW (OWNER)
(631) 838-7183
Entity
Organization
Contact information
Practice address
2046 N COUNTRY RD, WADING RIVER, NY 11792-1634
(631) 838-7183
(631) 284-6109
Mailing address
228 PARK AVE S # 624554, NEW YORK, NY 10003-1502
(631) 838-7183
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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