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Individual
SALLY JANE GLOWICKI
Active
Individual
SALLY JANE GLOWICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006136
VA
103T00000X
Psychologist
6301013113
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945450
—
VA
Enumeration date
04/11/2007
Last updated
09/01/2015
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