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1912545203
BRANDY MICHELLE KENNERSON
EAST HARTFORD, CT
NPI
1912545203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 010864)
Enumeration Date
2019-12-17
Last Update Date
2022-05-23
Business Address
BRANDY MICHELLE KENNERSON LCSW
50 FOUNDERS PLZ STE 202
EAST HARTFORD, CT 06108-3209
Phone number: 860-689-4222
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Mailing Address
BRANDY MICHELLE KENNERSON LCSW
PO BOX 312
BEACON FALLS, CT 06403-0312
Phone number: 860-689-4222
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