Individual
CAITLYN JUSTINE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, BSSW
Contact information
Practice address
405 MOXAHALA AVE, ZANESVILLE, OH 43701-4915
(888) 204-4207
Mailing address
405 MOXAHALA AVE, ZANESVILLE, OH 43701
(888) 204-4207
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1500653
OH
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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