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Individual

COREY R GLYNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
11 COLBURN CT, WAYNE, NJ 07470-8211
(973) 696-5668
(973) 305-8078
Mailing address
11 COLBURN CT, WAYNE, NJ 07470-8211
(973) 696-5668
(973) 305-8078

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SL05227700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
44SL05227700
LISCENSE
NJ
Enumeration date
07/24/2006
Last updated
07/08/2007
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