Individual
COURTNEY ANNA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
189 ORANGE ST, NEW HAVEN, CT 06510-2014
(203) 937-2309
Mailing address
189 ORANGE ST, NEW HAVEN, CT 06510-2014
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10416
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/14/2015
Last updated
06/01/2021
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