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Organization
BARROSO THERAPY SERVICES LLC
Active
Organization
BARROSO THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACEY BARROSO MSW (OWNER)
(574) 366-4616
Entity
Organization
Contact information
Practice address
310 W MCKINLEY AVE STE 318, MISHAWAKA, IN 46545-5651
(574) 366-4616
Mailing address
310 W MCKINLEY AVE STE 318, MISHAWAKA, IN 46545-5651
(574) 366-4616
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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