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Organization
THE MENTAL MOVEMENT LLC.
Active
Organization
THE MENTAL MOVEMENT LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALA M BROWN LCSW (CLINICAL SOCIAL WORKER)
(786) 212-0289
Entity
Organization
Contact information
Practice address
12760 SW 229TH TER, MIAMI, FL 33170-2755
(786) 212-0289
Mailing address
18591 S DIXIE HWY # 1039, CUTLER BAY, FL 33157-6845
(786) 212-0289
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111635000
—
FL
Enumeration date
09/29/2021
Last updated
09/29/2021
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