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Organization
CHRISTIAN LIFE GUIDANCE
Active
Organization
CHRISTIAN LIFE GUIDANCE
Active
Other names
ZImZum Consulting Collaboration
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL S AGENTIS (CO-PARTNER/CEO)
(610) 730-1757
Entity
Organization
Contact information
Practice address
520 E BROAD ST STE 2, BETHLEHEM, PA 18018-6330
(610) 973-5335
Mailing address
1325 GRANGER RD, NORTHAMPTON, PA 18067-9132
(610) 730-1757
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3786
PA
Other
Enumeration date
06/02/2018
Last updated
06/02/2018
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