Individual
SAMANTHA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
129 HEDIN AVE, RED WING, MN 55066-1907
(651) 212-7429
(507) 446-0431
Mailing address
2575 HARVEST LN, OWATONNA, MN 55060-4305
(507) 446-0431
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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