Individual
GLEN M WILBUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 327-4751
(615) 896-5796
Mailing address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 327-4751
(615) 896-5796
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
712TENNESSEE
TN
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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