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Organization
FRONTLINE WELLNESS GROUP
Active
Organization
FRONTLINE WELLNESS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN PLAKE LCSW (FOUNDER / THERAPIST)
(917) 764-3324
Entity
Organization
Contact information
Practice address
242 MAIN ST # 228, BEACON, NY 12508-2732
(917) 764-3324
Mailing address
5 SURFSIDE RD, HUMACAO, PR 00791-6033
(917) 764-3324
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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