Individual
GLORIMAR ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
314 FLANDERS RD STE 2D, EAST LYME, CT 06333-1727
(860) 514-1935
Mailing address
314 FLANDERS RD STE 2D, EAST LYME, CT 06333-1727
(860) 514-1935
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
010248
CT
1041C0700X
Clinical Social Worker
10248
CT
390200000X
Student in an Organized Health Care Education/Training Program
3419
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010248
STATE OF CONNECTICUT DPH
CT
01
—
10248
STATE OF CONNECTICUT DPH
CT
01
—
3419
STATE OF CONNECTICUT DPH
CT
Enumeration date
10/31/2017
Last updated
05/01/2022
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