MR. Kenneth George Fournier, LICSW

NPI #1003170838 in Prescott, Arizona

Provider Information

NPI Number
1003170838
Entity Type
Individual
Name
MR. Kenneth George Fournier, LICSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LICSW
Enumeration Date
Jun 26, 2012
Last Updated
Jun 26, 2012

Practice Location

Address
500 N US HIGHWAY 89
State
Arizona
ZIP Code
86313-5001
Phone
(928) 445-4860

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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