Individual
GLENN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
36 W WATER ST, TOMS RIVER, NJ 08753-7414
(609) 661-8052
Mailing address
36 W WATER ST, TOMS RIVER, NJ 08753-7414
(609) 661-8052
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44L06081600
NJ
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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