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Individual
MR. GLENNIE MCKINLEY SABB II
Active
Individual
MR. GLENNIE MCKINLEY SABB II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW/A
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P015208
NC
Other
Enumeration date
12/04/2020
Last updated
06/03/2021
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