Susan Kennelly, MSW

NPI 1851546972 · on the registry since 2008

Practice

Address: 1825 Chicago Ave
Minneapolis, MN 55404
Phone: (612) 752-8240
Fax: (612) 752-8201
Organisation at this address: Avivo
Avivo
Avivo
Resource, Inc.
Resource, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-11-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota