Individual
CARYN BETH KENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11512 LAKE MEAD AVE, 703, JACKSONVILLE, FL 32256-9681
(904) 646-0051
Mailing address
7564 SCARLET IBIS LN, JACKSONVILLE, FL 32256-2878
(904) 645-2764
(904) 448-2808
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0002527
FL
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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