Organization
MARY PERKINS KINKEN, DMIN,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KINKEN DMIN (THERAPIST)
(704) 560-0525
Entity
Organization
Contact information
Practice address
8806 GLENSIDE ST, HUNTERSVILLE, NC 28078-5634
(704) 560-0525
Mailing address
PO BOX 3506, HUNTERSVILLE, NC 28070-3506
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
73
NC
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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