Individual
KAITLIN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
120 S HIGHLAND ST, LOCK HAVEN, PA 17745-2812
(570) 748-7173
Mailing address
1011 BINGHAM ST, PITTSBURGH, PA 15203-1101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
CW023186
PA
Other
Enumeration date
05/31/2015
Last updated
07/15/2024
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