Individual
MIGNON DEBIE-KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1000 WAVERLY RD, PORTER, IN 46304-1291
(219) 255-8484
Mailing address
1000 WAVERLY RD, PORTER, IN 46304-1291
(219) 255-8484
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
33009607A
IN
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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