NPI 1003043894

Glenn Gregory Gemma, LCSW

Practitioner Clinical Social Worker Hartford, CT

Practice location

Address: 555 Franklin Ave, Hartford, CT 06114-3081
Phone: (860) 756-8669

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 002414 (CT)

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Registry record

NPI: 1003043894
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jun 2009
Record last updated: 26 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.