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Organization
KINZIE COUNSELING & CONSULTATION LLC
Active
Organization
KINZIE COUNSELING & CONSULTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH M. KINZIE MSW, LCSW (MGR)
(941) 374-3846
Entity
Organization
Contact information
Practice address
73 S PALM AVE, STE 215, SARASOTA, FL 34236-5638
(941) 374-3846
(941) 751-4885
Mailing address
6620 QUONSET RD, BRADENTON, FL 34203-9730
(941) 374-3846
(941) 751-4885
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW1660
FL
Other
Enumeration date
04/18/2007
Last updated
08/22/2020
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