Individual
MRS. DANA A KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
20 CEDAR ST, WORCESTER, MA 01609
(508) 753-5425
(508) 753-9625
Mailing address
20 CEDAR ST, WORCESTER, MA 01609
(508) 753-5425
(508) 753-9625
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
103324
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303619
—
MA
Enumeration date
01/30/2008
Last updated
01/30/2008
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