Organization
KENNEDY ADMINISTRATION
Active
Other names
Comprehensive Prenatal Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
SHAJUAN KENNEDY LPC (ADMINISTRATOR /OWNER)
(414) 346-0276
Entity
Organization
Contact information
Practice address
3612 WEST NORTH AVENUE, MILWAUKEE, WI 53208
(414) 346-0276
(414) 600-6206
Mailing address
3612 WEST NORTH AVENUE, MILWAUKEE, WI 53208
(414) 346-0276
(414) 600-6206
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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