Glenn Gregory Gemma, L.C.S.W.
Social Worker, Clinical in Hartford, CT. Individual provider (NPI-1).
NPI number1003043894
StatusActive
Last updated in NPPESOct 26, 2012
Details
- NPI
- 1003043894
- Entity type
- Individual (NPI-1)
- Name
- Mr. Glenn Gregory Gemma
- Credential
- L.C.S.W.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 18, 2009
- Last updated
- Oct 26, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 002414 | CT | Yes |
Practice location
555 Franklin AveHartford, CT 06114-3081
Phone 860-756-8669
Mailing address
555 Franklin AveHartford, CT 06114-3081
Phone 860-756-8669
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