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1649677584
DERRA KENNEDY
LEXINGTON, SC
NPI
1649677584
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-11-20
Last Update Date
2014-11-20
Business Address
-- DERRA KENNEDY
301 PALMETTO PARK BLVD
LEXINGTON, SC 29072-7872
Phone number: 803-996-1500
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Mailing Address
-- DERRA KENNEDY
301 PALMETTO PARK BLVD
LEXINGTON, SC 29072-7872
Phone number: 803-996-1500
Copy
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