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1780357319
JOEL WILLIAM KENWORTHY
WASILLA, AK
NPI
1780357319
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2021-07-29
Last Update Date
2021-07-29
Business Address
JOEL WILLIAM KENWORTHY
591 S KNIK GOOSE BAY RD
WASILLA, AK 99654-8062
Phone number: 907-313-1333
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Mailing Address
JOEL WILLIAM KENWORTHY
591 S KNIK GOOSE BAY RD
WASILLA, AK 99654-8062
Phone number: 907-313-1333
Copy
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