Individual
KENDRA GOLPHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5605 MONTROSE DR, KILLEEN, TX 76542-7577
(469) 438-2452
Mailing address
5605 MONTROSE DR, KILLEEN, TX 76542-7577
(469) 438-2452
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
797343
BACB NUMBER
TX
Enumeration date
06/14/2022
Last updated
06/14/2022
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