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Organization
SACRED MOUNTAINS LIMITED LIABILITY COMPANY
Active
Organization
SACRED MOUNTAINS LIMITED LIABILITY COMPANY
Active
Other names
Sacred Mountains Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AGUSTIN ALFONSO AGUIRRE HERRERA MSW (OWNER)
(202) 810-1624
Entity
Organization
Contact information
Practice address
5503 43RD AVE, HYATTSVILLE, MD 20781-1906
(202) 810-1624
Mailing address
5503 43RD AVE, HYATTSVILLE, MD 20781-1906
(202) 810-1624
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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