Individual
MR. GLENN MOMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.B.S.W.
Contact information
Practice address
1025 E FOREST AVE, DETROIT, MI 48207-1024
(313) 833-2085
Mailing address
38928 CLAREMONT CT, STERLING HEIGHTS, MI 48310-3127
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802070953
MI
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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