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Organization
LIVE WONDERFULLY THERAPY, LLC
Active
Organization
LIVE WONDERFULLY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAELYN SPRENKLE (OWNER)
(732) 305-0076
Entity
Organization
Contact information
Practice address
48 MELBOURNE ST, EDISON, NJ 08817-5431
(732) 305-0076
Mailing address
48 MELBOURNE ST, EDISON, NJ 08817-5431
(732) 305-0076
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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