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Individual

KENDRA MARIE MCMULLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PC

Contact information

Practice address
1000 S FORT THOMAS AVE, FORT THOMAS, KY 41075-2305
(859) 572-6768
Mailing address
2010 BLUE BELL DR, CINCINNATI, OH 45224-2859
(513) 374-5583

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1300172
OH

Other

Enumeration date
02/07/2017
Last updated
02/07/2017
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