Organization
HEALING GODDESS INTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKY PRIMER PHD (OWNER)
(301) 751-0695
Entity
Organization
Contact information
Practice address
15 CRAGMERE RD, WILMINGTON, DE 19809-2308
(301) 751-0695
Mailing address
15 CRAGMERE RD, WILMINGTON, DE 19809-2308
(301) 751-0695
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
FT-0000008
DE
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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