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
- City
- Represa
- State
- California
- ZIP Code
- 95670
- Phone
- (916) 324-6317
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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