Individual
GLEN A. WINDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1237 AUGUSTA WEST PKWY, AUGUSTA, GA 30909-1807
(706) 210-5902
(706) 210-5918
Mailing address
1237 AUGUSTA WEST PKWY, AUGUSTA, GA 30909-1807
(706) 210-5902
(706) 210-5918
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003441
GA
Other
Enumeration date
06/20/2008
Last updated
06/20/2008
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