Individual
DAVID KENEFICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
158 WESTBROOK RD STE 7, ESSEX, CT 06426-1553
(860) 608-5474
Mailing address
158 WESTBROOK RD STE 7, ESSEX, CT 06426-1553
(860) 608-5474
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2015
Last updated
11/16/2020
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