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Organization
MOONFLOWER THERAPY SERVICES LLC
Active
Organization
MOONFLOWER THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA L STILWELL LPCC (OWNER)
(567) 801-6279
Entity
Organization
Contact information
Practice address
218 MECHANIC ST, WATERVILLE, OH 43566-1438
(567) 801-6279
Mailing address
277 MARGARET PL, PERRYSBURG, OH 43551-1724
(330) 419-0518
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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