Individual
MRS. ANGELA A KENEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, PLMHP
Contact information
Practice address
2602 J ST, OMAHA, NE 68107-1643
(402) 734-5275
(402) 734-5708
Mailing address
2602 J ST, OMAHA, NE 68107-1643
(402) 734-5275
(402) 734-5708
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9608
NE
1041C0700X
Clinical Social Worker
Primary
6800
NE
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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