Individual
MS. LETTICE MONTGOMERY GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
1 HARBISON WAY, SUITE 229, COLUMBIA, SC 29212-3422
(803) 749-6620
Mailing address
1 HARBISON WAY, SUITE 109, COLUMBIA, SC 29212-3422
(803) 749-6620
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7627
SC
Other
Enumeration date
02/12/2007
Last updated
12/06/2010
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