Larry Ira Gillman

NPI #1740655737 in Newington, Connecticut

Provider Information

NPI Number
1740655737
Entity Type
Individual
Name
Larry Ira Gillman
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Dec 2, 2015
Last Updated
Dec 2, 2015

Practice Location

Address
33 AUGUSTA DR
ZIP Code
06111-2502
Phone
(860) 666-5805

Specialties & Taxonomy Codes

Specialty
Counselor

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