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Individual

DR. MARTI J GLASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD, LPC

Contact information

Practice address
2697 INTERNATIONAL PKWY, PARKWAY 2, STE. 101, VIRGINIA BEACH, VA 23452-7803
(757) 301-7129
Mailing address
2697 INTERNATIONAL PKWY, PARKWAY 2, STE. 101, VIRGINIA BEACH, VA 23452-7803
(757) 301-7129

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701004363
VA

Other

Enumeration date
06/02/2008
Last updated
06/02/2008
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