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1104980499
KENNETH M KINZIE
SARASOTA, FL
NPI
1104980499
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Professional Name
KEN KINZIE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW1660)
Enumeration Date
2006-12-20
Last Update Date
2007-07-08
Business Address
-- KENNETH M KINZIE M.S.W., LCSW
73 S PALM AVE SUITE 215
SARASOTA, FL 34236-5638
Phone number: 941-374-3846
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Mailing Address
-- KENNETH M KINZIE M.S.W., LCSW
6620 QUONSET RD
BRADENTON, FL 34203-9730
Phone number: 941-374-3846
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