Momo Llc | |
162 Glenn Pl Lexington KY 40505-3519 | |
(502) 509-9436 | |
Not Available |
Full Name | Momo Llc |
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Speciality | Social Worker - Clinical |
Location | 162 Glenn Pl, Lexington, Kentucky |
Authorized Official Name and Position | Mcclain Leeds Owens (OWNER) |
Authorized Official Contact | 5025099436 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Momo Llc 743 E Broadway # 217 Louisville KY 40202-1711 Ph: () - | Momo Llc 162 Glenn Pl Lexington KY 40505-3519 Ph: (502) 509-9436 |
NPI Number | 1003641358 |
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Provider Enumeration Date | 09/05/2024 |
Last Update Date | 09/05/2024 |
Certification Date | 09/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003641358 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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