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1962150615
SOUTHERN ROSE PSYCHOTHERAPY, LLC
PADUCAH, KY
NPI
1962150615
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Entity Type
Organization
Authorized Contact
MEGAN ROSE LARSON
Therapist
971-334-1940
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2022-03-11
Last Update Date
2022-03-11
Business Address
SOUTHERN ROSE PSYCHOTHERAPY, LLC
555 JEFFERSON ST STE 301
PADUCAH, KY 42001-1088
Phone number: 971-334-1940
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Mailing Address
SOUTHERN ROSE PSYCHOTHERAPY, LLC
2780 NEW HOLT RD STE D373
PADUCAH, KY 42001-7441
Phone number: 971-334-1940
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