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Organization
MIND REJUVENATION THERAPY
Active
Organization
MIND REJUVENATION THERAPY
Active
Other names
Mind Rejuvenation Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JACKLYN KROL (PSYCHOTHERAPIST/OWNER)
(347) 620-3477
Entity
Organization
Contact information
Practice address
57 SAINT MARKS PL, NEW YORK, NY 10003-7902
(347) 620-3477
Mailing address
57 SAINT MARKS PL, NEW YORK, NY 10003-7902
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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