Individual
KELLY RYAN BRONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
36 ICE POND LN, EAST BERLIN, CT 06023-1020
(203) 507-8757
Mailing address
36 ICE POND LN, EAST BERLIN, CT 06023-1020
(203) 507-8757
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005096
CT
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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