Individual
MICHAEL KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
865 MEMORIAL PKWY, PHILLIPSBURG, NJ 08865-2730
(908) 319-7126
(908) 454-3155
Mailing address
865 MEMORIAL PKWY, PHILLIPSBURG, NJ 08865-2730
(908) 319-7126
(908) 454-3155
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
44SC04959300
PA
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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