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Organization

MIND EMPOWERMENT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIELLE JAPENGA LCSW (OWNER)
(623) 377-1813
Entity
Organization

Contact information

Practice address
11225 N 28TH DR STE D220C, PHOENIX, AZ 85029-5697
(602) 529-1463
Mailing address
PO BOX 303, LITCHFIELD PARK, AZ 85340-0303
(602) 529-1463

Taxonomy

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

Other

Enumeration date
03/09/2023
Last updated
03/09/2023
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