Organization
CLINICAL THERAPEUTIC SUPPORT LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETA MARIE GLEISSNER (CEO)
(917) 373-4557
Entity
Organization
Contact information
Practice address
329 LINCOLN ST APT 102, WALTHAM, MA 02451-2187
(866) 525-2766
Mailing address
459 COLUMBUS AVE STE 124, NEW YORK, NY 10024-5129
(917) 373-4557
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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