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Individual

MS. LATOYA KENNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, BCC

Contact information

Practice address
3415 OLD HIGHWAY 41 STE 750, KENNESAW, GA 30144-1028
(678) 574-8313
Mailing address
3415 OLD HIGHWAY 41 STE 750, KENNESAW, GA 30144-1028
(678) 574-8313

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
08/09/2013
Last updated
08/09/2013
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