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Individual

MR. GEOFFREY SCOTT GENSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.C.S.W.

Contact information

Practice address
15 N MAIN ST, 3RD FLOOR, WEST HARTFORD, CT 06107-1974
(860) 570-0877
(860) 264-4737
Mailing address
15 N MAIN ST, 3RD FLOOR, WEST HARTFORD, CT 06107-1974
(860) 570-0877
(860) 264-4737

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005336
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004243052
CT
01
140005336CT03
ANTHEM BC/BS
CT
01
244683591
UNITED BEHAVIORAL HEALTH
CT
01
349753
MHN/HMC
CT
01
P3514264
OXFORD HEALTH PLANS
CT
Enumeration date
09/14/2006
Last updated
07/01/2008
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