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Organization
THE CONSCIOUS LIFE, LLC
Active
Organization
THE CONSCIOUS LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIKE MOORE (SOCIAL WORKER)
(443) 801-7380
Entity
Organization
Contact information
Practice address
3771 RAVENWOOD AVE, BALTIMORE, MD 21213-2021
(443) 801-7380
Mailing address
3771 RAVENWOOD AVE, BALTIMORE, MD 21213-2021
(443) 801-7380
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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