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Organization
MINDFULNESS COUNSELING CENTER LLC
Active
Organization
MINDFULNESS COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI A KINGSLEY LCSW (LICENSED CLINICAL SOCIAL WORKER)
(570) 637-2804
Entity
Organization
Contact information
Practice address
1239 GOLDEN MILE RD, STE 103, WYSOX, PA 18848-9409
(570) 637-2804
Mailing address
404 VOUGHT CREEK RD, WYSOX, PA 18854-8054
(570) 637-2804
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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