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Organization
TREE OF LIFE THERAPY LLC
Active
Organization
TREE OF LIFE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE WAID LMFT (MARRIAGE AND FAMILY THERAPIST)
(860) 608-5202
Entity
Organization
Contact information
Practice address
47 WATER ST STE 202, MYSTIC, CT 06355-2573
(860) 608-5202
Mailing address
347 OLD EVARTS LN, MYSTIC, CT 06355-2161
(860) 608-5202
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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