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Individual

MS. DONNA LEE KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SAC

Contact information

Practice address
4800 S 10TH ST, MILWAUKEE, WI 53221-2412
(414) 744-5370
(414) 744-9052
Mailing address
4800 S 10TH ST, MILWAUKEE, WI 53221-2412
(414) 744-5370
(414) 744-9052

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15405-133
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
15457-132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
15471131
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1548491467
WI
Enumeration date
07/28/2009
Last updated
03/30/2010
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