Organization
KENNAMAR-LINN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PEGGY KENNAMER-LINN LMHC (OWNER)
(407) 622-9603
Entity
Organization
Contact information
Practice address
3350 BURBERRY PL, SAINT CLOUD, FL 34772-8754
(407) 622-9603
(321) 805-4915
Mailing address
3350 BURBERRY PL, SAINT CLOUD, FL 34772-8754
(407) 622-9603
(321) 805-4915
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
MH13013
FL
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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