Gloria Lynn Fennell, LCSW

NPI #1356921548 in La Pointe, Wisconsin

Provider Information

NPI Number: 1356921548
Entity Type: Individual
Name: Gloria Lynn Fennell, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Apr 12, 2021
Last Updated: Apr 12, 2021

Practice Location

Address: 1099 S SHORE RD
City: La Pointe
State: Wisconsin
ZIP Code: 54850-4516
Phone: (715) 456-9369

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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