Individual
ROSEMARY KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS ELEMENTARY ED
Contact information
Practice address
182 SW ACADEMY ST, DALLAS, OR 97338-1922
(503) 623-9664
(503) 623-2731
Mailing address
182 SW ACADEMY ST, DALLAS, OR 97338-1922
(503) 623-9664
(503) 623-2731
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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