Individual
GLENN HOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
14210 W ROBERTSON DR, SUN CITY WEST, AZ 85375-2247
(720) 315-6957
Mailing address
14210 W ROBERTSON DR, SUN CITY WEST, AZ 85375-2247
(720) 315-6957
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19186
AZ
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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