Individual
KELLY BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2015 W MAIN ST, STAMFORD, CT 06902-4536
(203) 863-4673
Mailing address
150 BROAD ST APT 616, STAMFORD, CT 06901-2058
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15181
CT
1041C0700X
Clinical Social Worker
226404
MA
Other
Enumeration date
02/06/2023
Last updated
11/14/2025
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