Individual
MRS. CAROLINE AMY KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
7250 FRANCE AVE S STE 111, EDINA, MN 55435-4311
(952) 837-8991
Mailing address
690 BRENTWOOD LN, EAGAN, MN 55123-1333
(952) 837-8991
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
264
MN
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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