Individual
ROBERT KENNEDY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
654 JONES LN, DUBLIN, GA 31021-0303
(478) 290-0563
Mailing address
654 JONES LN, DUBLIN, GA 31021-0303
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW006286
GA
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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