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Organization
CJW LIFE CARE LLC
Active
Organization
CJW LIFE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMALITA GENAY ESCOTO (OWNER/MANAGER)
(434) 390-9335
Entity
Organization
Contact information
Practice address
312 CARDINAL DR, CHARLOTTE COURT HOUSE, VA 23923-3789
(434) 390-9335
Mailing address
PO BOX 573, CHARLOTTE COURT HOUSE, VA 23923-0573
(434) 390-9335
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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