Individual
DORRANCE A KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
120 PENMARC DR, # 118, RALEIGH, NC 27603-2400
(800) 632-6074
Mailing address
7431 114TH AVE STE 104, LARGO, FL 33773-5119
(800) 632-6074
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004854
NC
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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