Charles Andrew Kennedy, ASW

NPI #1336856210 in Guerneville, California

Provider Information

NPI Number: 1336856210
Entity Type: Individual
Name: Charles Andrew Kennedy, ASW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: ASW
Enumeration Date: Nov 1, 2022
Last Updated: Nov 1, 2022

Practice Location

Address: 16387 FIRST STREET
City: Guerneville
State: California
ZIP Code: 95446-9544
Phone: (707) 326-1452

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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