Provider Information for 1184279820
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EASY LIFE COACHING
Organization Subpart: NO
NPI: 1184279820
Last Updated: 2019-08-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1184279820 | ||||||||
| Enumeration Date | 2019-08-08 | ||||||||
| NPI Type | NPI-2 Organization | ||||||||
| Status | Active | ||||||||
| Authorized Official Information | Name: Mrs. SHANNON HANNAH LCPC Title: Owner/Therapist Phone: 4438806319 | ||||||||
| Mailing Address | 5963 RIDGE SPRING CIR SALISBURY, MD 21801-2431 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 5963 RIDGE SPRING CIR SALISBURY, MD 21801-2431 United States Phone: 410-831-3496 | Fax: | ||||||||
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