| Glendaly Valle Llc | |
|
91 Bellevue Ave Bristol CT 06010-5817 | |
| (860) 785-0044 | |
| Not Available |
| Full Name | Glendaly Valle Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 91 Bellevue Ave, Bristol, Connecticut |
| Authorized Official Name and Position | Glendaly Valle (SOCIAL WORKER) |
| Authorized Official Contact | 8607850044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glendaly Valle Llc 11 Hart St Southington CT 06489-2440 Ph: (860) 785-0044 | Glendaly Valle Llc 91 Bellevue Ave Bristol CT 06010-5817 Ph: (860) 785-0044 |
| NPI Number | 1649737602 |
|---|---|
| Provider Enumeration Date | 02/26/2019 |
| Last Update Date | 02/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649737602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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