Individual
MR. BRYAN PATRICK KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
1030 JEFFERON AVENUE, MEMPHIS, TN 38104
(901) 523-8990
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW7953
TN
Other
Enumeration date
07/22/2010
Last updated
07/23/2010
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