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Organization
WANDERING COLLECTIVE LLC
Active
Organization
WANDERING COLLECTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY FORTNEY PSY.D. (OWNER)
(404) 895-6416
Entity
Organization
Contact information
Practice address
5960 S LAND PARK DR # 1194, SACRAMENTO, CA 95822-3313
(404) 895-6416
Mailing address
2514 AMELIA EARHART AVE, SACRAMENTO, CA 95834-4003
(404) 895-6416
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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