Individual
MS. PATRICIA ANN KENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
157 PARK ST, SUITE 35, BANGOR, ME 04401-5093
(207) 992-9453
(207) 992-2051
Mailing address
202 FOURTH STREET, OLD TOWN, ME 04468
(207) 827-2165
(207) 992-2051
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC7401
ME
Other
Enumeration date
10/03/2006
Last updated
01/08/2008
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