Organization
HEALING ROOTS CENTRE, L.L.L.P
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA MULDER DSW (GENERAL PARTNER)
(859) 705-8967
Entity
Organization
Contact information
Practice address
4533 WALNUT CREEK DR, LEXINGTON, KY 40509-4540
(859) 705-8967
Mailing address
4533 WALNUT CREEK DR, LEXINGTON, KY 40509-4540
(859) 705-8967
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
05/23/2023
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