Individual
MR. JOHN GLEASON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2960 POST RD, SOUTHPORT, CT 06890-1268
(203) 307-3030
Mailing address
2960 POST RD, SOUTHPORT, CT 06890-1268
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GLEASON
AETNA
CT
Enumeration date
06/24/2019
Last updated
06/24/2019
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