Individual
MRS. REBECCA MARIE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
902 S HIGH ST, COLUMBIA, TN 38401-3204
(931) 490-6510
Mailing address
902 S HIGH ST, COLUMBIA, TN 38401-3204
(931) 490-6510
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/21/2007
Last updated
09/07/2011
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