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Organization

FREE RANGE MENTAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY M D'ELOIA JR. LICSW (THERAPIST)
(801) 597-3925
Entity
Organization

Contact information

Practice address
2765 SYLVAN ST, BELLINGHAM, WA 98226-4318
(801) 597-3925
Mailing address
2765 SYLVAN ST, BELLINGHAM, WA 98226-4318
(801) 597-3925

Taxonomy

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

Other

Enumeration date
05/12/2021
Last updated
05/12/2021
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