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1790217073
TRACY KENNEDY
SANTA CRUZ, CA
NPI
1790217073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA ASW105315)
Enumeration Date
2017-03-28
Last Update Date
2023-09-10
Business Address
TRACY KENNEDY
716 OCEAN ST
SANTA CRUZ, CA 95060-4032
Phone number: 831-465-4907
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Mailing Address
TRACY KENNEDY
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060-2178
Phone number: 831-469-1700
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