Individual
ALEXANDRA JANE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
47 WASHINGTON ST, MEDFORD, MA 02155-4728
(413) 464-3067
Mailing address
16 ISLAND HILL AVE UNIT 104, MELROSE, MA 02176-6141
(413) 464-3067
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
228756
MA
1041C0700X
Clinical Social Worker
228756
MA
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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