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Organization
WELLNESS CLINIQUE, LLC
Active
Organization
WELLNESS CLINIQUE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY EPSTEIN (MANAGER)
(215) 715-9519
Entity
Organization
Contact information
Practice address
6900 TAVISTOCK LAKES BLVD STE 400, ORLANDO, FL 32827-7593
(407) 717-2147
Mailing address
13381 BEEBE ALY, ORLANDO, FL 32827-7667
(407) 717-2147
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/31/2017
Last updated
10/29/2020
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