Individual
ANDRENE BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1635 CENTRAL AVE, BRIDGEPORT, CT 06610-2717
(203) 551-7660
Mailing address
159 HARMONY ST, BRIDGEPORT, CT 06606-4357
(203) 727-9675
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1424
CT
1041C0700X
Clinical Social Worker
Primary
010042
CT
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/12/2013
Last updated
02/15/2025
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