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Individual

MR. GEOFFREY SCOTT GENSER

Active
Sole proprietor
Yes

Provider details

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

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
Update your record

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