Individual
KAITLIN VALERI KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
144 E SOUTH ST, FREDERICK, MD 21701-5636
(301) 613-8270
Mailing address
144 E SOUTH ST, FREDERICK, MD 21701-5636
(301) 613-8270
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19252
MD
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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