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Organization
THE WELLNESS LAB LLC
Active
Organization
THE WELLNESS LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANALI KHALIL LCSW (CLINICAL DIRECTOR)
(219) 440-2627
Entity
Organization
Contact information
Practice address
9853 WABASH ST, DYER, IN 46311-7733
(219) 440-2627
Mailing address
9853 WABASH ST, DYER, IN 46311-7733
(219) 440-2627
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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