Individual
MR. KENYON CHRISTIAN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
9 RIDGE VALLEY RD, SANDY HOOK, CT 06482-1642
(646) 327-7171
Mailing address
9 RIDGE VALLEY RD, SANDY HOOK, CT 06482-1642
(646) 327-7171
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11639
CT
Other
Enumeration date
09/06/2025
Last updated
09/06/2025
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