Individual
COLLEEN L KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
980 S TOWER RD, FERGUS FALLS, MN 56537-5505
(218) 736-6987
(218) 736-6980
Mailing address
980 S TOWER RD, FERGUS FALLS, MN 56537-5505
(218) 736-6987
(218) 736-6980
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25024
MN
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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