MS. Jamie Costello Kenwood, LCSW

NPI #1316113525 in Represa, California

Provider Information

NPI Number
1316113525
Entity Type
Individual
Name
MS. Jamie Costello Kenwood, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
May 7, 2008
Last Updated
May 7, 2008

Practice Location

Address
PRISON RD
Address 2
CALIFORNIA STATE PRISON SACRAMENTO
ZIP Code
95670
Phone
(916) 324-6317

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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