Individual
MARY E KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4710 CHAMPIONS TRACE LN, 107, LOUISVILLE, KY 40218-3495
(502) 589-8600
(502) 589-8771
Mailing address
10101 LINN STATION RD STE 600, LOUISVILLE, KY 40223-3818
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3375
KY
Other
Enumeration date
01/16/2008
Last updated
09/20/2017
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