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Edwina Alexandria Kennedy, MA

Counselor in Port Richey, FL. Individual provider (NPI-1).

NPI number1992397145
StatusActive
Last updated in NPPESFeb 9, 2021

Details

NPI
1992397145
Entity type
Individual (NPI-1)
Name
Edwina Alexandria Kennedy
Credential
MA
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 9, 2021
Certification date
Feb 9, 2021
Last updated
Feb 9, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes

Practice location

9550 Us Highway 19 Ste 202
Port Richey, FL 34668-4648

Phone 727-494-7609

Mailing address

9550 Us Highway 19 Ste 202
Port Richey, FL 34668-4648

Phone 727-494-7609

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