Thomas Kennison

NPI #1760731731 in Robbinsdale, Minnesota

Provider Information

NPI Number: 1760731731
Entity Type: Individual
Name: Thomas Kennison
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Sep 5, 2012
Last Updated: Jul 21, 2022

Practice Location

Address: 3300 OAKDALE AVE N
City: Robbinsdale
State: Minnesota
ZIP Code: 55422-2926
Phone: (763) 581-8900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary
Social Worker - Clinical — Clinical	1041C0700X

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