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Individual
LESLIE Z GLOVER
Active
Individual
LESLIE Z GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
14498
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82279L
BLUE CROSS
TX
Enumeration date
06/15/2006
Last updated
03/31/2008
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