Individual
CARRIE MAE KENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
570 LEE ST, PERTH AMBOY, NJ 08861-3053
(732) 442-1666
Mailing address
913 NORTHUMBERLAND WAY, MONMOUTH JUNCTION, NJ 08852-2361
(732) 355-9808
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SL01222400
NJ
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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