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Individual
KENNETH JEDDING
Active
Individual
KENNETH JEDDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00057385
—
NY
Enumeration date
01/28/2009
Last updated
12/04/2013
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