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Organization
KOA INTUITIVE THERAPY LLC
Active
Organization
KOA INTUITIVE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZA BOVE (OWNER)
(845) 551-8772
Entity
Organization
Contact information
Practice address
2002 ROUTE 17M STE 1, GOSHEN, NY 10924-5236
(845) 551-8772
Mailing address
2002 ROUTE 17M STE 1, GOSHEN, NY 10924-5236
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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