Individual
BRETTA KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4201 W STAN SCHLUETER LOOP, KILLEEN, TX 76549-4782
(254) 290-6198
Mailing address
4201 W STAN SCHLUETER LOOP, KILLEEN, TX 76549-4782
(254) 290-6198
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
307
CO
1041C0700X
Clinical Social Worker
Primary
57537
TX
Other
Enumeration date
05/30/2008
Last updated
03/26/2013
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