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Organization
LIFEWORTHY LLC
Active
Organization
LIFEWORTHY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANITA PETTAWAY LISW (OWNER)
(567) 229-3467
Entity
Organization
Contact information
Practice address
311 1/2 CONANT ST STE 205, MAUMEE, OH 43537-3378
(567) 229-3467
Mailing address
311 1/2 CONANT ST STE 205, MAUMEE, OH 43537-3378
(567) 229-3467
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0428892
—
OH
Enumeration date
06/18/2020
Last updated
10/17/2024
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