Susan Kay Kennelly, MSW
Social Worker, Clinical in Minneapolis, MN. Individual provider (NPI-1).
NPI number1851546972
StatusActive
Last updated in NPPESNov 18, 2008
Details
- NPI
- 1851546972
- Entity type
- Individual (NPI-1)
- Name
- Susan Kay Kennelly
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2008
- Last updated
- Nov 18, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 12455 | MN | Yes |
Practice location
1825 Chicago AveMinneapolis, MN 55404-1939
Phone 612-752-8240 · Fax 612-752-8201
Mailing address
1825 Chicago AveMinneapolis, MN 55404-1939
Phone 612-752-8240 · Fax 612-752-8201
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