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Organization
INNER DYNAMICS, LLC
Active
Organization
INNER DYNAMICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN LAFORTE LCSW (MGRM)
(386) 313-6166
Entity
Organization
Contact information
Practice address
50 LEANNI WAY, SUITE B-3, PALM COAST, FL 32137-4751
(386) 313-6166
(386) 313-6166
Mailing address
1 RYBARK PL, PALM COAST, FL 32164-6440
(386) 313-6166
(386) 313-6166
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW9614
FL
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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