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BERT DENNIS GUNN

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1083728927

Individual Registrant:
 BERT DENNIS GUNN 
Gender: M
Sole Proprietor

Location and contact information for practice:
18 BEDLAM RD  CHAPLIN, CT 06235-2324 US
Tel: 860-455-9203  Fax: --

Contact information for business:
18 BEDLAM RD  CHAPLIN, CT 06235-2324 US
Tel: 860-455-9203  Fax: --

Registration Information:
NPI: 1083728927
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CT000862

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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