Individual
KENNEDY JANE GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3025 4TH ST NE, WASHINGTON, DC 20017-1101
(202) 779-9740
Mailing address
3025 4TH ST NE, WASHINGTON, DC 20017-1101
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG200002517
DC
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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