Individual
MS. MARY JULIANNE KENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
010687
CT
1041C0700X
Clinical Social Worker
Primary
089.0136894
VT
Other
Enumeration date
09/18/2019
Last updated
04/29/2026
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