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Organization
HOLDING SPACE THERAPY, LLC
Active
Organization
HOLDING SPACE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE RUTKOWSKI MA, LMFT, RPT (MARRIAGE AND FAMILY THERAPIST)
(651) 564-8456
Entity
Organization
Contact information
Practice address
N2440 ARA GLEN DR STE 203, LAKE GENEVA, WI 53147-3736
(651) 564-8456
Mailing address
N2440 ARA GLEN DR STE 203, LAKE GENEVA, WI 53147-3736
(651) 564-8456
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
03/21/2024
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