Individual
ILEANE KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
133 PARK ST NE, VIENNA, VA 22180-4602
(703) 281-2657
Mailing address
4550 C 28TH ROAD SOUTH, ARLINGTON, VA 22206
(703) 671-1351
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002929
VA
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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