Individual
KAITLIN KENNEFICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5820 YORK RD STE 201, BALTIMORE, MD 21212-3620
(410) 800-2169
Mailing address
910 SOUTHERLY RD # R351, TOWSON, MD 21204-2648
(508) 857-6793
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
31839
MD
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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