Individual
CHRISTOPHER GACKENHEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
545 HIGHLAND AVE, CHESHIRE, CT 06410-2205
(203) 250-0305
Mailing address
27 AUTUMN ST, NEW HAVEN, CT 06511-2220
(312) 802-3015
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
009232
CT
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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