{
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"FirstLineMailingAddress": "6700 SW 105TH AVE STE 203",
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"FirstLinePracticeLocationAddress": "6700 SW 105TH AVE STE 203",
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"EnumerationDate": "09/28/2017",
"LastUpdateDate": "07/21/2022",
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"AuthorizedOfficialLastName": "GLENN",
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"AuthorizedOfficialCredential": "LPC INTERN, NCC, CRC",
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"TaxonomyName": "Adult Mental Health Clinic/Center",
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}
},
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}
}