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Organization

WILD SEED PSYCH, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CYMANDE BAXTER-ROGERS ARNP (OWNER, LEAD CLINICIAN)
(603) 630-7063
Entity
Organization

Contact information

Practice address
140 BEARCAMP POND RD, SOUTH TAMWORTH, NH 03883-3402
(603) 630-7063
Mailing address
140 BEARCAMP POND RD, SOUTH TAMWORTH, NH 03883-3402
(603) 630-7063

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
06/05/2023
Last updated
09/06/2023
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