Individual
AMBER KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7 CLAYTON AVE, CORTLAND, NY 13045-2501
(607) 758-6100
Mailing address
5 KATIE LN, MARATHON, NY 13803-3521
(607) 227-6171
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
05/14/2024
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