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Individual
MR. KENNETH ARNOLD WEEDEN JR.
Active
Individual
MR. KENNETH ARNOLD WEEDEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.D.P. , C.C.D.P.D
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00467
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YA0400X
RI DEPT. OF HEALTH
RI
05
—
KW31753
—
RI
Enumeration date
05/04/2006
Last updated
01/13/2010
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