Individual
SHARON LEE KENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW, LMT
Contact information
Practice address
611 SW FEDERAL HWY, SUITE C2B, STUART, FL 34994-2925
(772) 221-1080
Mailing address
PO BOX 1676, STUART, FL 34995-1676
(772) 221-1080
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 5360
FL
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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