Individual
CRYSTAL MARIE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA
Contact information
Practice address
7 VINE ST, CHESTERFIELD, IN 46017-1618
(765) 639-7604
Mailing address
4210 S 1180 E, HUDSON, IN 46747-9660
(463) 203-7019
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
172A00000X
Driver
Primary
—
—
Other
Enumeration date
06/17/2016
Last updated
08/04/2021
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