Individual
KENNEDY TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
410 CENTRAL AVE N, FARIBAULT, MN 55021-5217
(507) 446-0431
Mailing address
2575 HARVEST LN, OWATONNA, MN 55060-4305
(507) 446-0431
(507) 446-8014
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28526
MN
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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