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Individual

BRENDA KELLEHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LICSW

Contact information

Practice address
20860 N TATUM BLVD STE 300, PHOENIX, AZ 85050-4283
(207) 319-9005
Mailing address
135 MAINE ST STE A-291, BRUNSWICK, ME 04011-2098
(207) 319-9005

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
09/19/2012
Last updated
02/08/2023
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