Glorimar Anderson
Social Worker, Clinical in East Lyme, CT. Individual provider (NPI-1).
NPI number1417469446
StatusActive
Last updated in NPPESMay 1, 2022
Details
- NPI
- 1417469446
- Entity type
- Individual (NPI-1)
- Name
- Glorimar Anderson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 31, 2017
- Certification date
- May 1, 2022
- Last updated
- May 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 010248 | CT | Yes |
| 1041C0700X | Social Worker, Clinical | 10248 | CT | |
| 390200000X | Student in an Organized Health Care Education/Training Program | 3419 | CT |
Practice location
314 Flanders Rd Ste 2dEast Lyme, CT 06333-1727
Phone 860-514-1935
Mailing address
314 Flanders Rd Ste 2dEast Lyme, CT 06333-1727
Phone 860-514-1935
Other practice locations
21 Montauk Ave
New London, CT 06320
New London, CT 06320
Phone 860-439-6400 · Fax 860-333-1390
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