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Organization

MEDICATION AND PRAYERS FOR WELLNESS PSYCHIATRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AUSTIN AGBONIFO (FOUNDER)
(857) 498-4939
Entity
Organization

Contact information

Practice address
19 JOHN ST, CHICOPEE, MA 01013-2326
(857) 498-4939
Mailing address
19 JOHN ST, CHICOPEE, MA 01013-2326

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary

Other

Enumeration date
11/10/2021
Last updated
11/10/2021
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