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Individual
GLENN JEFFERSON SPAULDING
Active
Individual
GLENN JEFFERSON SPAULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801019723
MI
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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