Theresa Ann Redondo Kennedy MSW

NPI 1073718334 - Counselor - 101YA0400X

NPI Details
NPI 1073718334
Gender Female
Enumeration Date 06/18/2007
Last Updated 11/17/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
2425 ENBORG LN
SAN JOSE CA, 95128-2648, US
Phone (408) 885-4077
Fax
Business Location
2425 ENBORG LN
SAN JOSE CA, 95128-2648, US
Phone (408) 885-4077
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State California
License Number 19167
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According to our database, Mrs. Theresa Ann Redondo Kennedy MSW NPI is 1073718334, taxonomy code is 101YA0400X and license number is 19167, license state is located at California. Theresa Ann Redondo Kennedy MSW physically located at 2425 Enborg Ln, San Jose CA, 95128-2648. NPI Number Theresa Ann Redondo Kennedy MSW has the Individual type.

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1073718334 NPI number is provided on an as is basis without warranty of any kind. 1073718334 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Ann Redondo Kennedy MSW are for informational purposes only.