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Individual
ROXANNE M KENNEDY
Active
Individual
ROXANNE M KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180013789
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180013789
LCPC
IL
Enumeration date
08/13/2021
Last updated
08/13/2021
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