Individual
JESSICA KENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 E SOUTHERN AVE STE 735, TEMPE, AZ 85282-5699
(480) 804-0326
Mailing address
1400 E SOUTHERN AVE STE 735, TEMPE, AZ 85282-5699
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-21360
AZ
Other
Enumeration date
09/06/2019
Last updated
04/11/2023
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