Individual
DR. JENNIFER D KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5120 NUTHATCH CT NE, LACEY, WA 98516-4528
(360) 890-0694
Mailing address
5120 NUTHATCH CT NE, LACEY, WA 98516-4528
(360) 890-0694
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60869052
WA
Other
Enumeration date
04/20/2019
Last updated
04/20/2019
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