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Organization
PAPILLON HEALTH AND WELLNESS LLC
Active
Organization
PAPILLON HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE RUSSO (OWNER/PROVIDER)
(561) 412-9281
Entity
Organization
Contact information
Practice address
643 SW GRANADEER ST, PORT SAINT LUCIE, FL 34983-8772
(561) 412-9281
Mailing address
643 SW GRANADEER ST, PORT SAINT LUCIE, FL 34983-8772
(561) 412-9281
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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