Individual
HOLLY KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CSW
Contact information
Practice address
5700 W ELM ST, BLACK HAWK, SD 57718-9466
(605) 430-2253
(605) 348-1050
Mailing address
5700 W ELM ST, BLACK HAWK, SD 57718-9466
(605) 430-2253
(605) 348-1050
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3404
SD
Other
Enumeration date
11/19/2012
Last updated
03/13/2023
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