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Individual

TRINA KENNELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
107 E 28TH ST, SOUTH SIOUX CITY, NE 68776-3206
(605) 354-5724
Mailing address
118 N 5TH ST, ONEILL, NE 68763-1565
(402) 336-4841

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
104100000X
Social Worker
Primary

Other

Enumeration date
12/02/2013
Last updated
12/02/2013
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