Individual
AMANDA NICHOLE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15740 S OUTER 40 RD, CHESTERFIELD, MO 63017-2004
(636) 237-4053
Mailing address
674 CANARY ESTATES DR, MANCHESTER, MO 63021-4313
(314) 703-9899
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2017008037
MO
1041C0700X
Clinical Social Worker
Primary
2019043423
MO
Other
Enumeration date
05/18/2017
Last updated
07/29/2021
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