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Individual

ANA M KENENI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW119780

Contact information

Practice address
2420 MARTIN RD, FAIRFIELD, CA 94534-8651
(202) 826-3900
Mailing address
2420 MARTIN RD, FAIRFIELD, CA 94534-8651
(707) 428-4198

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW119780
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2536
CA
01
9668
PACIFIC CLINICS
CA
Enumeration date
06/27/2018
Last updated
06/25/2025
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