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Organization
THRIVE FOR LIFE THERAPY, L.L.C.
Active
Organization
THRIVE FOR LIFE THERAPY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH HERNANDEZ LICSW (OWNER/THERAPIST)
(320) 298-2038
Entity
Organization
Contact information
Practice address
1216 WILLOW POND DR, WAITE PARK, MN 56387-2038
(320) 298-2038
Mailing address
31997 ROUGE LN, MENIFEE, CA 92584-7244
(320) 298-2038
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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