Individual
JACLYN LOUISE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
329 N SALINA ST, SYRACUSE, NY 13203-1755
(315) 380-0443
Mailing address
7041 PENCEE LN, EAST SYRACUSE, NY 13057-2636
(815) 382-8672
(815) 382-8672
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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