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Individual

JENNIFER KENYON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3541 N CROSSING CIR, VALDOSTA, GA 31602-1019
(229) 244-4200
(229) 244-4995
Mailing address
5277 CYPRESS DR, LAKE PARK, GA 31636-3143
(229) 460-7846
(229) 244-4995

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005863
GA

Other

Enumeration date
05/05/2014
Last updated
08/31/2016
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