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1699450189
TERRY LEE KENWORTHY
CHESAPEAKE, VA
NPI
1699450189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904014622)
Enumeration Date
2023-06-21
Last Update Date
2024-05-21
Business Address
TERRY LEE KENWORTHY LCSW
2632 PINE FOREST LN
CHESAPEAKE, VA 23322-2700
Phone number: 757-469-5870
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Mailing Address
TERRY LEE KENWORTHY LCSW
2632 PINE FOREST LN
CHESAPEAKE, VA 23322-2700
Phone number: 757-469-5870
Copy
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