Individual
BRANDON CONOR KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
358 EDGEWOOD AVE, NEW HAVEN, CT 06511-4082
(203) 435-6887
Mailing address
358 EDGEWOOD AVE, NEW HAVEN, CT 06511-4082
(203) 435-6887
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13714
CT
Other
Enumeration date
12/03/2021
Last updated
07/12/2024
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