Individual
JASON GLICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RSS
Contact information
Practice address
330 ROBERTS ST, EAST HARTFORD, CT 06108-3652
(860) 310-7214
Mailing address
330 ROBERTS ST STE 103, EAST HARTFORD, CT 06108-3654
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
25561
CT
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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