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Organization

KENNEDY'S CIRCLE OF WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAJUAN KENNEDY (DIRECTOR)
(414) 399-8736
Entity
Organization

Contact information

Practice address
3614 W NORTH AVE, MILWAUKEE, WI 53208-1416
(414) 399-8736
Mailing address
3614 W NORTH AVE, MILWAUKEE, WI 53208-1416
(414) 346-0276
(414) 600-1452

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
08/14/2019
Last updated
07/16/2020
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