Dr. Gloria Fennell's National Provider Identifier (NPI) Details
Dr. Gloria Fennell, LCSW
NPI: 1356921548
Enumeration Date: 2021-04-12
Last updated: 2021-04-12
Sole Proprietor: YES
Status: active
Postal Address: PO BOX 162, LA POINTE, WI
Phone: 715-456-9369
Primary Practice Address: 1099 S SHORE RD, LA POINTE, WI
Practice's phone: 715-456-9369