Individual
SHANNON KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7621 LITTLE RD, SUITE 200, NEW PORT RICHEY, FL 34654-5567
(727) 686-9247
Mailing address
7621 LITTLE RD, SUITE 200, NEW PORT RICHEY, FL 34654-5567
(727) 686-9247
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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