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Individual

KENNEDI DANIELLE WEED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
4625 WV-152, LAVALETTE, WV 25535
(304) 690-6362
Mailing address
9 CHESAPEAKE PLZ, CHESAPEAKE, OH 45619-1003

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00945445
WV

Other

Enumeration date
07/26/2023
Last updated
07/26/2023
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