Glen Forneris
Glen Forneris is a Clinical Social Worker in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2018.
- Licensed in
- IL
- In the registry since
- 2018
Practice location Address checks out
1021 N Mulford RdRockford, IL 61107-3877
Phone: (815) 387-5600
Fax: (815) 316-4726
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 149017684 (IL) |
|---|
Record details
| NPI number | 1073021192 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 11, 2018 |
| Last updated in NPPES | January 11, 2018 |
| Mailing address | 1021 N Mulford Rd, Rockford, IL 61107-3877 |
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