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Organization
LIVING SOUL OF NEW YORK, LLC
Active
Organization
LIVING SOUL OF NEW YORK, LLC
Active
Other names
LIVING SOUL, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
WIDLINE PIERRE (MGM)
(561) 536-5888
Entity
Organization
Contact information
Practice address
3175 S CONGRESS AVE STE 204A, PALM SPRINGS, FL 33461-2515
(561) 536-5888
(561) 828-9322
Mailing address
3175 S CONGRESS AVE STE 204A, PALM SPRINGS, FL 33461-2515
(561) 572-6773
(561) 828-9322
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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