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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KATIE GAIL KENNEDY, L.I.C.S.W, M.S.W.

Active Sole Proprietor

MRS. KATIE GAIL KENNEDY, L.I.C.S.W, M.S.W. is a Clinical Social Worker healthcare provider located in ZUMBROTA, Minnesota. NPI 1013504273 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · ZUMBROTA, MN

Registration Details

NPI Number
1013504273
Provider Type
Individual
Gender
Female
NPI Issued
Dec 22, 2020 (5.4659532815532 yrs)
Last Updated
Dec 22, 2020
License
21084 (MN)
Sole Proprietor
Yes

Practice Information

Address
77 W 5TH ST
ZUMBROTA, MN, 559921650
Browse MN providers · Browse ZIP 55992
Phone
5077324136
Fax
5077324411
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in ZUMBROTA, MN

Name Credential NPI
MRS. ANDREA KRISTIN SMOTHERS MSW LICSW 1700813623
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.