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Individual

KENNARI SARGENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW,LICSW

Contact information

Practice address
5247 WISCONSIN AVE NW, SUITE 3, SECOND FLOOR, WASHINGTON, DC 20015-2012
(202) 431-7078
(202) 237-8554
Mailing address
6444 31ST ST NW, WASHINGTON, DC 20015-2342
(202) 431-7078
(202) 237-8554

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC302349
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
J1630001
CARE FIRST BCBS
DC
Enumeration date
03/29/2007
Last updated
07/08/2007
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