Individual
GLENN MORAZZINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
251 MAIN ST, YARMOUTH, ME 04096-4705
(207) 846-4880
Mailing address
251 MAIN ST, YARMOUTH, ME 04096-4705
(207) 846-4880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC1213
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432126199
—
ME
Enumeration date
04/17/2006
Last updated
04/29/2009
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