Wren Elliot Jane Kennedy

NPI #1548017908 in Dallas, Oregon

Provider Information

NPI Number: 1548017908
Entity Type: Individual
Name: Wren Elliot Jane Kennedy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: May 3, 2024
Last Updated: Oct 21, 2024

Practice Location

Address: 2200 E ELLENDALE AVE
City: Dallas
State: Oregon
ZIP Code: 97338-9353
Phone: (503) 623-5588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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