Individual
BERT DENNIS GUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18 BEDLAM RD, CHAPLIN, CT 06235-2324
(860) 455-9203
Mailing address
18 BEDLAM RD, CHAPLIN, CT 06235-2324
(860) 455-9203
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000862
CT
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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