Individual
EDWARD S GLASSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
3314 RAYMOND ST, LAURELDALE, PA 19605-2220
(610) 929-2138
Mailing address
3314 RAYMOND ST, LAURELDALE, PA 19605-2220
(610) 929-2138
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/13/2008
Last updated
06/24/2009
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