Most Relevant Information
Provider Data
| NPI Number: | 1003043894 |
| Provider Name: | GLENN GREGORY GEMMA L.C.S.W. |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 002414 |
Most Important Dates
| Enumeration Date: | 06/18/2009 |
| Last Updated: | 10/26/2012 |
Provider Practice Location
555 FRANKLIN AVE
HARTFORD
CT
061143081
Practice Location Phone/Fax
| Phone: | 8607568669 |
| Fax: |
Provider Mailing Location
555 FRANKLIN AVE
HARTFORD
CT
061143081
Provider Mailing Phone/Fax
| Phone: | 8607568669 |
| Fax: |