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Individual

GLYN T. DEPUTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1215 SW G. STREET, GRANTS PASS, OR 97526-2544
(541) 476-2373
(541) 476-1526
Mailing address
1215 SW G. STREET, GRANTS PASS, OR 97526-2544
(541) 476-2373
(541) 476-1526

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC-3109
ID
101YP2500X
Professional Counselor
Primary
C2709
OR

Other

Enumeration date
03/29/2007
Last updated
03/17/2015
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