Individual
MR. GARY JOHN FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LCSW
Contact information
Practice address
501 OCEAN AVE, NEW LONDON, CT 06320
(860) 442-6364
(860) 447-9977
Mailing address
501 OCEAN AVE, NEW LONDON, CT 06320
(860) 442-6364
(860) 447-9977
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004150455
—
CT
Enumeration date
05/04/2006
Last updated
06/26/2017
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