Individual
MRS. MARY M KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
181 W PROFESSIONAL PARK CT, SUITE 1, BOWLING GREEN, KY 42104-3250
(270) 843-5300
(270) 843-5383
Mailing address
PO BOX 51322, BOWLING GREEN, KY 42102-5622
(270) 843-5300
(270) 843-5383
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1328
KY
Other
Enumeration date
03/24/2006
Last updated
05/05/2014
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