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Organization

LIVE WELL THERAPY ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHANNA KULP LCSW (THERAPIST)
(610) 888-5031
Entity
Organization

Contact information

Practice address
221 WILLIAMS AVE, NARBERTH, PA 19072-2018
(215) 480-0173
Mailing address
111 FORREST AVE, NARBERTH, PA 19072
(215) 480-0173

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
04/21/2016
Last updated
04/21/2016
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