Individual
GLEN REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
103 CREST LANE DR SE, SMYRNA, GA 30080-8600
(404) 461-7961
(678) 402-5332
Mailing address
103 CREST LANE DR SE, SMYRNA, GA 30080-8600
(404) 461-7961
(678) 402-5332
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW005172
GA
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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