Individual
AMANDA MARIE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, MS, SLP
Contact information
Practice address
459 SW COAST HWY, NEWPORT, OR 97365
(541) 265-9211
(406) 494-1724
Mailing address
PO BOX 1110, NEWPORT, OR 97365
(541) 265-9211
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
L6713
OR
235Z00000X
Speech-Language Pathologist
Primary
016067
OR
Other
Enumeration date
02/23/2010
Last updated
02/09/2018
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