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Individual

DR. TRACEY LATIMORE KENWORTHY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
160 COWAN RD, PARKESBURG, PA 19365-2109
(302) 428-9487
Mailing address
108 TYLER DR., COATESVILLE, PA 19320-2109
(302) 615-1996
(484) 786-4796

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS019219
PA

Other

Enumeration date
01/08/2024
Last updated
04/08/2024
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