Individual
MR. KENNETH ALAN TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW SW 13826
Contact information
Practice address
4713 NORTHPOINTE CT, PENSACOLA, FL 32514-6647
(850) 225-1313
Mailing address
4713 NORTHPOINTE CT, PENSACOLA, FL 32514-6647
(850) 225-1313
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
RCSWI LIC # ISW8687
FL
Other
Enumeration date
05/23/2014
Last updated
12/09/2016
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