Individual
MRS. KATIE GAIL KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W, M.S.W.
Contact information
Practice address
77 W 5TH ST, ZUMBROTA, MN 55992-1650
(507) 732-4136
(507) 732-4411
Mailing address
PO BOX 134, ZUMBROTA, MN 55992-0134
(507) 382-9959
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21084
MN
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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