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Organization

DREAMING TREE WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LESLIE TUCKER-GUILFOYLE MED, MSW, LCSW, MAC (MEMBER/OWNER)
(804) 924-7173
Entity
Organization

Contact information

Practice address
14321 WINTER BREEZE DR, MIDLOTHIAN, VA 23113-2452
(804) 924-7173
Mailing address
14321 WINTER BREEZE DR, MIDLOTHIAN, VA 23113-2452
(804) 924-7173

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
07/18/2023
Last updated
07/18/2023
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