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Individual

KENNEDY STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1215 INDEPENDENCE BLVD BLDG 6, ZACHARY, LA 70791-7390
(225) 286-1547
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
011874748
LA

Other

Enumeration date
09/15/2022
Last updated
09/15/2022
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