Laurel E Kenworthy LICSW

NPI 1770922049 - Social Worker - 1041C0700X

NPI Details
NPI 1770922049
Gender Female
Enumeration Date 06/20/2013
Last Updated 06/20/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
330 MOUNT AUBURN ST
CLARK 1
CAMBRIDGE MA, 02138-5502, US
Phone (617) 499-5054
Fax (617) 499-5465
Business Location
330 MOUNT AUBURN ST
CLARK 1
CAMBRIDGE MA, 02138-5502, US
Phone (617) 499-5054
Fax (617) 499-5465
Toxanomy
Taxonomy Code 1041C0700X
License State Massachusetts
License Number 116610
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According to our database, Laurel E Kenworthy LICSW NPI is 1770922049, taxonomy code is 1041C0700X and license number is 116610, license state is located at Massachusetts. Laurel E Kenworthy LICSW physically located at 330 Mount Auburn St, Cambridge MA, 02138-5502. NPI Number Laurel E Kenworthy LICSW has the Individual type.

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1770922049 NPI number is provided on an as is basis without warranty of any kind. 1770922049 is maintained by the National Plan & Provider Enumeration System. The contents of Laurel E Kenworthy LICSW are for informational purposes only.