Individual
MS. AMY LISA KENNELLY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
64 ROBBINS ST, CRISIS INTERVENTION, WATERBURY, CT 06708-2613
(203) 573-6500
(203) 573-7007
Mailing address
90 BRIAR CT, CHESHIRE, CT 06410-3903
(203) 271-1242
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003956
CT
Other
Enumeration date
11/22/2005
Last updated
07/08/2007
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