Individual
MR. JAMES E GLENN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
800 AVONDALE RD PH 1, WALLINGFORD, PA 19086-6676
(610) 955-2729
Mailing address
800 AVONDALE RD PH 1, WALLINGFORD, PA 19086-6676
(610) 955-2729
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW132199
PA
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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