Individual
ASHLEE KENWORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.S.W.
Contact information
Practice address
5111 AUTO CLUB DR, DEARBORN, MI 48126-2749
(313) 317-2000
Mailing address
2261 WILTSHIRE RD, BERKLEY, MI 48072-3318
(248) 417-9705
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
5375-C
NV
1041C0700X
Clinical Social Worker
Primary
6801086676
MI
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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