Individual
JUDY K HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
415 MAIN ST, WEST HAVEN, CT 06516-4296
(203) 931-1184
Mailing address
761 W WOODS RD, HAMDEN, CT 06518-1837
(203) 668-9648
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008408
CT
Other
Enumeration date
02/22/2015
Last updated
02/22/2015
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