Individual
MICHAEL KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3031 COWART RD, DAWSONVILLE, GA 30534-4907
(703) 217-3627
Mailing address
4465 MARTIN RD STE A, CUMMING, GA 30028-3952
(703) 217-3627
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149011225
IL
1041C0700X
Clinical Social Worker
Primary
CSW005593
GA
Other
Enumeration date
10/09/2008
Last updated
01/13/2022
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