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Individual
SHANNON MARIE GLODICH
Active
Individual
SHANNON MARIE GLODICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1336543313
MI
101YP2500X
Professional Counselor
Primary
6401014409
MI
Other
Enumeration date
10/20/2014
Last updated
10/02/2024
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