Individual
MR. JEFFREY GAGLIARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5 DOVER CT, CHESHIRE, CT 06410-2849
(203) 379-8400
Mailing address
5 DOVER CT, CHESHIRE, CT 06410-2849
(203) 379-8400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
091416
NY
1041C0700X
Clinical Social Worker
Primary
10694
CT
Other
Enumeration date
08/10/2019
Last updated
07/12/2021
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