Organization
LIFE THERAPY, INC.
Active
Organization
LIFE THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANTOINETTE DION WILSON LCSW (OWNER/LCSW)
(678) 672-9362
Entity
Organization
Contact information
Practice address
2010 HIDDEN CT, ALBANY, GA 31707-1945
(678) 672-9362
Mailing address
2010 HIDDEN CT, ALBANY, GA 31707-1945
(678) 672-9362
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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