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Organization
THE FAMILY WELLNESS CENTER, LLC
Active
Organization
THE FAMILY WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEENA BOLTON BA, CNHP, CBS (OWNER)
(901) 672-7134
Entity
Organization
Contact information
Practice address
7503 QUEENS CT, SUITE 1, GERMANTOWN, TN 38138-3875
(901) 672-7134
(901) 672-7136
Mailing address
7503 QUEENS CT, SUITE 1, GERMANTOWN, TN 38138-3875
(901) 672-7134
(901) 672-7136
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/24/2010
Last updated
06/24/2010
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