Individual
CHLOE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3736 QUEBEC AVE S, ST LOUIS PARK, MN 55426-4343
(651) 410-8805
Mailing address
3736 QUEBEC AVE S, ST LOUIS PARK, MN 55426-4343
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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