Individual
MRS. CHARLOTTE M KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
541 VICTORIA PARK DR W, DETROIT, MI 48215-4105
(313) 570-1102
Mailing address
541 VICTORIA PARK DR W, DETROIT, MI 48215-4105
(313) 570-1102
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801086127
MI
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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