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1932938115
PSYCHEDELIC PSYCH
MT STERLING, KY
NPI
1932938115
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Entity Type
Organization
Authorized Contact
SHAWNDA CARTER
CEO
859-710-8803
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2024-07-29
Last Update Date
2024-07-29
Business Address
PSYCHEDELIC PSYCH
601 DOE RUN DR STE 4
MT STERLING, KY 40353-9097
Phone number: 859-710-8803
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Mailing Address
PSYCHEDELIC PSYCH
601 DOE RUN DR STE 4
MT STERLING, KY 40353-9097
Phone number: 859-710-8803
Copy
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