Most Relevant Information
Provider Data
| NPI Number: | 1003068701 |
| Provider Name: | JENNIFER GLASS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/14/2008 |
| Last Updated: | 10/16/2008 |
Provider Practice Location
645 FARMINGTON AVE
HARTFORD
CT
061052907
Practice Location Phone/Fax
| Phone: | 8605239788 |
| Fax: |
Provider Mailing Location
645 FARMINGTON AVE
HARTFORD
CT
061052907
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |