Organization
HEALING WATER CONNECTIONS, LLC
Active
Organization
HEALING WATER CONNECTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INGRID ROXANA MEJIA LCSW (CHIEF EXECUTIVE OFFICER)
(623) 414-9488
Entity
Organization
Contact information
Practice address
1038 E COLTER ST, PHOENIX, AZ 85014-2622
(623) 414-9488
Mailing address
1038 E COLTER ST, PHOENIX, AZ 85014-2622
(623) 414-9488
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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