Individual
MARIE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1325 QUINCY ST NE, WASHINGTON, DC 20017-2615
(202) 813-0454
Mailing address
200 COMMANDER CV, STAFFORD, VA 22554-2402
(732) 895-3422
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0903003455
VA
Other
Enumeration date
06/01/2024
Last updated
06/01/2024
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