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Organization

ALAN GLASS,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALAN GLASS MSW,MS (MANAGER)
(843) 427-4429
Entity
Organization

Contact information

Practice address
109 ASH ST, SUITE D, NORTH MYRTLE BEACH, SC 29582-3093
(843) 427-4429
Mailing address
109 ASH ST, SUITE D, NORTH MYRTLE BEACH, SC 29582-3093
(843) 427-4429

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW8759
SC

Other

Enumeration date
01/14/2009
Last updated
01/14/2009
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