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Individual
MR. MICHAEL GLENN
Active
Individual
MR. MICHAEL GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
102778
MA
101YM0800X
Mental Health Counselor
102778
MA
101YP2500X
Professional Counselor
102778
MA
101YS0200X
School Counselor
102778
MA
104100000X
Social Worker
102778
MA
1041C0700X
Clinical Social Worker
Primary
102778
MA
106H00000X
Marriage & Family Therapist
102778
MA
Other
Enumeration date
02/18/2007
Last updated
09/11/2025
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