Individual
GLEN ALLEN MEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
208 N KANSAS AVE, MEARSGLEN@GAIL.COM, ROSWELL, NM 88201-0117
(719) 845-7956
(719) 845-7956
Mailing address
208 N KANSAS AVE, MEARSGLEN@GMAIL.COM, ROSWELL, NM 88201-0117
(719) 845-7956
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW.09924447
CO
1041C0700X
Clinical Social Worker
Primary
SWB-2022-1105
NM
Other
Enumeration date
07/15/2005
Last updated
11/07/2025
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