Individual
JACQUELYN CORDELIA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3403 OAKMAN BLVD, DETROIT, MI 48238-4201
(248) 905-3967
Mailing address
3403 OAKMAN BLVD, DETROIT, MI 48238-4201
(248) 905-3967
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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