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Organization
RIVER BIRCH WELLNESS LLC
Active
Organization
RIVER BIRCH WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECA WAITE (MANAGING PARTNER)
(312) 898-6018
Entity
Organization
Contact information
Practice address
4763 1ST AVE S, ST PETERSBURG, FL 33711-1005
(727) 490-8293
Mailing address
2955 HUNTINGTON DR, LARGO, FL 33771-1804
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/28/2020
Last updated
03/28/2020
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