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Individual
KAYE KERNISANT
Active
Individual
KAYE KERNISANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACHELOR LEVEL
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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