Individual
KATIE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2833 BRAKLEY DR, SUITE B, BATON ROUGE, LA 70816-2695
(225) 214-1617
(225) 216-0082
Mailing address
2833 BRAKLEY DR, SUITE B, BATON ROUGE, LA 70816-2695
(225) 214-1617
(225) 216-0082
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8993
LA
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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