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Organization
HEALING PASSAGES LLC
Active
Organization
HEALING PASSAGES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANA VANDIVIER LCSW (LCSW/OWNER)
(239) 289-8606
Entity
Organization
Contact information
Practice address
5585 COVE CIR, NAPLES, FL 34119-9530
(239) 289-8606
Mailing address
5585 COVE CIR, NAPLES, FL 34119-9530
(239) 289-8606
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW12150
FL
Other
Enumeration date
03/04/2018
Last updated
09/28/2021
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