Individual
JACK P GESINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
295 WASHINGTON AVE, SUITE 5N, HAMDEN, CT 06518-3025
(203) 248-5787
Mailing address
193 OLD COACH HWY, HAMDEN, CT 06518-2024
(203) 248-5787
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
001851
CT
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001145368
—
CT
Enumeration date
12/21/2005
Last updated
11/14/2013
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