Individual
CHARLOTTE LOUISE GLOGAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
1106 W CORNWALLIS RD, SUITE 101, DURHAM, NC 27705-5748
(919) 698-7102
Mailing address
3400 BONAPARTE WAY, DURHAM, NC 27707-3618
(919) 990-3241
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2034
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107058
—
NC
Enumeration date
05/08/2007
Last updated
07/08/2007
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