Individual
MR. DENNIS J GLANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW LPC
Contact information
Practice address
1200 N WEST AVE, SUITE 400, JACKSON, MI 49202-2179
(517) 780-3336
(517) 796-4561
Mailing address
1200 N WEST AVE, SUITE 400, JACKSON, MI 49202-2179
(517) 780-3336
(517) 796-4561
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6301002109
MI
104100000X
Social Worker
Primary
6801016082
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041285
VALUE OPTOINS STATE OF MI
MI
01
—
8008970870
TRADITIONAL BLUE CROSS B
MI
Enumeration date
05/19/2006
Last updated
03/28/2008
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