Individual
AMANDA MARIE BRADFORD-KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
120 W STEPHEN FOSTER AVE STE 113, BARDSTOWN, KY 40004-1457
(315) 546-3312
Mailing address
120 W STEPHEN FOSTER AVE STE 113, BARDSTOWN, KY 40004-1457
(315) 546-3312
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
095387
NY
1041C0700X
Clinical Social Worker
Primary
254329
KY
Other
Enumeration date
07/20/2015
Last updated
08/26/2019
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