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Organization

A NEW FREEDOM AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACQUELINE SANDERS (CREDENTIALING AGENT)
(502) 630-2036
Entity
Organization

Contact information

Practice address
300 S 3RD ST, RICHMOND, KY 40475-1965
(502) 712-2802
Mailing address
300 S 3RD ST, RICHMOND, KY 40475-1965

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
07/26/2024
Last updated
07/26/2024
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