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Individual
KENISHA M WEBER
Active
Individual
KENISHA M WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
103669
NY
1041C0700X
Clinical Social Worker
Primary
098615
NY
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
06/21/2018
Last updated
04/23/2025
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