Individual
KASSANDRA KERNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4545 CRAIN HWY, WHITE PLAINS, MD 20695-3045
(301) 609-6736
Mailing address
2022 BAYTHORNE RD, PRINCE FREDERICK, MD 20678-3534
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24593
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
MD
Enumeration date
04/07/2020
Last updated
04/07/2020
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