MRS. Mary Katherine Kennedy, MA

NPI #1336418169 in Burke, Virginia

Provider Information

NPI Number: 1336418169
Entity Type: Individual
Name: MRS. Mary Katherine Kennedy, MA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Credential: MA
Enumeration Date: Dec 22, 2011
Last Updated: Dec 22, 2011

Practice Location

Address: 10727 BURR OAK WAY
City: Burke
State: Virginia
ZIP Code: 22015-2414
Phone: (703) 425-9126

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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