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Individual
KENNY KINDER
Active
Individual
KENNY KINDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2005164
OH
1041C0700X
Clinical Social Worker
—
OH
376J00000X
Homemaker
—
OH
Other
Enumeration date
12/28/2020
Last updated
01/25/2022
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