Organization
KINETIC CONNECTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAVINA R AGEE LSW (OWNER)
(304) 940-0085
Entity
Organization
Contact information
Practice address
16741 SENECA TRL, MARLINTON, WV 24954-7002
(304) 799-4343
(304) 799-4444
Mailing address
PO BOX 6, MARLINTON, WV 24954-0006
(304) 799-4343
(304) 799-4444
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
AP00943540
WV
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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