Individual
MRS. GLENDA GRESHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
195 CHATHAM HILL RD, STROUDSBURG, PA 18360-6625
(646) 841-4427
Mailing address
312 E 109TH ST, NEW YORK, NY 10029-3705
(570) 234-8066
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104000000X
—
NY
05
—
1041000000X
—
NY
Enumeration date
04/18/2022
Last updated
04/18/2022
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