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Individual
GLENN DOUGLAS CAMPBELL WHITELAW
Active
Individual
GLENN DOUGLAS CAMPBELL WHITELAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW, LMFT, ACSW, NA
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801017103
MI
106H00000X
Marriage & Family Therapist
4101005142
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1883825
—
MI
Enumeration date
08/09/2011
Last updated
08/09/2011
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