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Organization

WILD HEART MARRIAGE & FAMILY COUNSELING

Active
Other names
Wild Heart Counseling
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DEJUAN L EVANS LMFT (CEO)
(323) 839-6925
Entity
Organization

Contact information

Practice address
126 PROSPECT ST STE 210, PAWTUCKET, RI 02860-4429
(323) 839-6925
Mailing address
PO BOX 41, NORTH ATTLEBORO, MA 02761-0041
(323) 839-6925

Taxonomy

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

Other

Enumeration date
01/30/2025
Last updated
01/30/2025
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