| NPI | 1679850978 |
|---|---|
| Former Name | MARJORIE ANN CLAUDETTE KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 3633C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AL 2912G) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2014-05-29 |