Individual
MRS. JESSICA LOUISE GLOWACZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
89 W SOUTH BLVD STE 200, TROY, MI 48085-1612
(248) 602-2593
Mailing address
89 W SOUTH BLVD STE 200, TROY, MI 48085-1612
(248) 602-2593
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801096127
MI
1041C0700X
Clinical Social Worker
6801096127
MI
Other
Enumeration date
11/07/2013
Last updated
01/28/2019
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