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Individual

VALERIE KENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSW/CPSW

Contact information

Practice address
653 W ARRINGTON ST, FARMINGTON, NM 87401-8513
(505) 564-3733
Mailing address
653 W ARRINGTON ST, FARMINGTON, NM 87401-8513

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
10112022
NM
175T00000X
Peer Specialist
Primary
1361
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
26251272
NM
Enumeration date
06/07/2022
Last updated
07/24/2025
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