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Individual
MR. COLE E GLASER
Active
Individual
MR. COLE E GLASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SW131259
PA
101YM0800X
Mental Health Counselor
SW127698
PA
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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