Provider Demographics
NPI:1427517937
Name:DEMBROSKI, GLORIA ANN (TCM,BS)
Entity type:Individual
Prefix:
First Name:GLORIA
Middle Name:ANN
Last Name:DEMBROSKI
Suffix:
Gender:F
Credentials:TCM,BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 82ND AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32966-6991
Mailing Address - Country:US
Mailing Address - Phone:772-492-9841
Mailing Address - Fax:
Practice Address - Street 1:995 10TH CT SW
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32962-5422
Practice Address - Country:US
Practice Address - Phone:772-559-7308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-14
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker