Individual
MR. JONATHAN DAVID GELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
166 KINGS HIGHWAY NORTH, WESTPORT, CT 06880
(203) 221-0333
Mailing address
166 KINGS HIGHWAY NORTH, WESTPORT, CT 06880
(203) 221-0333
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
001388LCSW
CT
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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