MRS. Theresa Wagner Kennedy, LCSW

NPI #1952431678 in Oakhurst, California

Provider Information

NPI Number: 1952431678
Entity Type: Individual
Name: MRS. Theresa Wagner Kennedy, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: LCSW
Enumeration Date: Mar 6, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 40459 HWY 41
Address 2: STE 5
City: Oakhurst
State: California
ZIP Code: 93644
Phone: (559) 683-3657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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