Individual
KENYARDRA WORTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1123 S TROY ST, CHICAGO, IL 60612-3945
(312) 241-9690
Mailing address
1123 S TROY ST, CHICAGO, IL 60612-3945
(312) 241-9690
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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