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Individual

WILLIAM KENWORTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2804 EVELYN CT, VIENNA, VA 22180-7015
(917) 837-1328
Mailing address
1326 CHESTNUT ST, PHILADELPHIA, PA 19107-4525
(866) 864-1661

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001984
VA

Other

Enumeration date
02/26/2018
Last updated
08/15/2023
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