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Organization
SPHINX LIFE COACHING
Active
Organization
SPHINX LIFE COACHING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COREY WILSON (MANAGER/CLINICIAN)
(862) 485-7941
Entity
Organization
Contact information
Practice address
276 BRANCH BROOK DR APT A, BELLEVILLE, NJ 07109-3620
(862) 485-7941
Mailing address
276 BRANCH BROOK DR APT A, BELLEVILLE, NJ 07109-3620
(862) 485-7941
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SL05582700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0162353
—
NJ
Enumeration date
07/21/2014
Last updated
07/21/2014
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