Individual
CHERYL CANIFF KENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2202 MARCIA DR, ORANGE PARK, FL 32073-5231
(904) 312-3026
(904) 375-0875
Mailing address
2202 MARCIA DR, ORANGE PARK, FL 32073-5231
(904) 312-3026
(904) 375-0875
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW8295
FL
Other
Enumeration date
01/01/2008
Last updated
05/06/2008
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