Individual
JENA KENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
64 THOMPSON ST STE A101, EAST HAVEN, CT 06513-5700
(203) 691-1685
Mailing address
64 THOMPSON ST STE A101, EAST HAVEN, CT 06513-5700
(203) 691-1685
(203) 891-6763
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
11231
CT
Other
Enumeration date
11/07/2018
Last updated
11/06/2020
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