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Organization

MIRALIFE TELETHERAPIST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JANNY N JINOR LCSW, PHD (OWNER)
(910) 805-2740
Entity
Organization

Contact information

Practice address
10105 E VIA LINDA STE 103, SCOTTSDALE, AZ 85258-5346
(910) 805-2740
Mailing address
10105 E VIA LINDA STE 103, SCOTTSDALE, AZ 85258-5346
(910) 805-2740

Taxonomy

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

Other

Enumeration date
09/12/2023
Last updated
11/07/2023
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