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Individual

CONNOLLY GLEESON D'SOUZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
3830 W FLAGLER ST, CORAL GABLES, FL 33134-1604
(305) 442-1453
(305) 442-1466
Mailing address
189 PALMETTO DR, MIAMI SPRINGS, FL 33166-5809
(786) 294-1896
(305) 757-4465

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW8366
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
768008200
FL
Enumeration date
11/29/2006
Last updated
11/14/2025
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