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Individual

WAYNE JAMES KENNEDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
5238 E PERSHING AVE, SCOTTSDALE, AZ 85254-3626
(602) 410-3833
Mailing address
5238 E PERSHING AVE, SCOTTSDALE, AZ 85254-3626
(602) 410-3833

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-1835
AZ

Other

Enumeration date
06/11/2021
Last updated
06/11/2021
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