Individual
WILLIAM H KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 COMMERCIAL ST, BROCKTON, MA 02302-3101
(508) 580-4691
Mailing address
69 DOVER RD, MILLIS, MA 02054-1338
(508) 801-0920
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
414089
MA
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/17/2018
Last updated
09/17/2020
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