Individual
ANNE MARIE GLENN FELLENZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1711 STATE ROUTE 17A, FLORIDA, NY 10921-1065
(845) 651-1848
Mailing address
1711 STATE ROUTE 17A, FLORIDA, NY 10921-1065
(845) 651-1848
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
080399
NY
Other
Enumeration date
09/09/2008
Last updated
04/04/2014
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