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Organization

DIVINE MINDS WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY LOPUSNAK LCSW (PROVIDER)
(813) 713-9402
Entity
Organization

Contact information

Practice address
2240 TWELVE OAKS WAY STE 102, WESLEY CHAPEL, FL 33544-6970
(813) 713-9402
Mailing address
2240 TWELVE OAKS WAY STE 102, WESLEY CHAPEL, FL 33544-6970

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary

Other

Enumeration date
06/07/2021
Last updated
06/07/2021
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