Dr Kenneith Durden Outreach
NPI #1699120410 in Port Wentworth, Georgia
Provider Information
- NPI Number
- 1699120410
- Entity Type
- Organization
- Organization Name
- Dr Kenneith Durden Outreach
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Apr 29, 2016
- Last Updated
- Apr 29, 2016
Practice Location
- Address
- 41 MOONLIGHT TRL
- City
- Port Wentworth
- State
- Georgia
- ZIP Code
- 31407-3321
- Phone
- (404) 909-2442
Authorized Official
- Name
- KENNEITH DURDEN
- Title
- CEO
- Phone
- (404) 909-2442
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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