Individual
ANGELA LYNN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
360 ROYAL TERN CT., CARRABELLE, FL 32322
(850) 305-8194
Mailing address
360 ROYAL TERN CT., CARRABELLE, FL 32322
(850) 305-8194
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW19644
FL
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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