Individual
BRANDY MICHELLE KENNERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
50 FOUNDERS PLZ STE 202, EAST HARTFORD, CT 06108-3209
(860) 689-4222
Mailing address
PO BOX 312, BEACON FALLS, CT 06403-0312
(860) 689-4222
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
010864
CT
Other
Enumeration date
12/17/2019
Last updated
05/23/2022
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