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Organization
LIFE IS GOOD THERAPY LLC
Active
Organization
LIFE IS GOOD THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREY DAVYDOV LCSW (LICENSED CLINICAL SOCIAL WORKER)
(917) 463-6553
Entity
Organization
Contact information
Practice address
3025 OAKTREE LN, HOLLYWOOD, FL 33021-2667
(917) 463-6553
Mailing address
3025 OAKTREE LN, HOLLYWOOD, FL 33021-2667
(917) 463-6553
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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