Individual
JAN L KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
164 W MAIN ST, SUITE A, NEW MARKET, MD 21774-6279
(240) 285-5285
Mailing address
164 W MAIN ST, SUITE A, NEW MARKET, MD 21774-6279
(240) 285-5285
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12832
MD
Other
Enumeration date
12/28/2006
Last updated
06/14/2011
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