Individual
ALYSHA MARY KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
338 N COMRIE AVE, JOHNSTOWN, NY 12095-1064
(518) 736-1780
Mailing address
338 N COMRIE AVE, JOHNSTOWN, NY 12095-1064
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NY
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/02/2020
Last updated
07/07/2021
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