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Organization

SACRED HEALING THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JILL RAE LAWRENCE LISW (CLINICAL SOCIAL WORKER)
(515) 443-6735
Entity
Organization

Contact information

Practice address
2117 VINE ST, WEST DES MOINES, IA 50265-4807
(515) 443-6735
Mailing address
2117 VINE ST, WEST DES MOINES, IA 50265-4807
(515) 443-6735

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
09/01/2025
Last updated
09/01/2025
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