Individual
MRS. CANDY ANN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
6040 W LISBON AVE, MILWAUKEE, WI 53210-2116
(414) 871-9111
(414) 871-9121
Mailing address
6040 W LISBON AVE, MILWAUKEE, WI 53210-2116
(414) 871-9111
(414) 871-9121
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
525226
WI
Other
Enumeration date
12/22/2010
Last updated
12/22/2010
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