Individual
CARRIE ANN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 S SPRIGG ST, CAPE GIRARDEAU, MO 63703-6212
(573) 651-4177
Mailing address
20 S SPRIGG ST, CAPE GIRARDEAU, MO 63703-6212
(573) 651-4177
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
05/26/2021
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