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Organization
WORK IT OUT THERAPEUTICS, LLC
Active
Organization
WORK IT OUT THERAPEUTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRELYSE FULS MSW, LISW (OWNER)
(513) 646-4564
Entity
Organization
Contact information
Practice address
159 OLD SALEM RD, DAYTON, OH 45415-1341
(513) 646-4564
Mailing address
159 OLD SALEM RD, DAYTON, OH 45415-1341
(513) 646-4564
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871901710
—
OH
Enumeration date
10/23/2018
Last updated
10/23/2018
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