Individual
MRS. MARIA K KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15 MDG, 755 SCOTT CIRCLE, JBPHH, HI 96853
(808) 448-6240
Mailing address
15 MDG, 755 SCOTT CIRCLE, JBPHH, HI 96853
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSWS1324
AK
Other
Enumeration date
12/29/2011
Last updated
01/13/2025
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