Glen Forneris

NPI #1073021192 in Rockford, Illinois

Provider Information

NPI Number
1073021192
Entity Type
Individual
Name
Glen Forneris
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Enumeration Date
Jan 11, 2018
Last Updated
Jan 11, 2018

Practice Location

Address
1021 N MULFORD RD
ZIP Code
61107-3877
Phone
(815) 387-5600

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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