Individual
GLORIA DZEROVYCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
130 DIVISION STREET, GRIFFIN HOSPITAL, DERBY, CT 06418
(203) 732-7550
(203) 732-1550
Mailing address
130 DIVISION STREET, GRIFFIN HOSPITAL, DERBY, CT 06418
(203) 732-7550
(203) 732-1550
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001149
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D400000287
HOSPITAL PTAN
CT
Enumeration date
02/25/2009
Last updated
02/25/2009
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