Individual
GLEN ALAN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1544 S BYRNE RD, TOLEDO, OH 43614-3465
(419) 509-3442
(419) 491-4886
Mailing address
2217 WARREN ST, TOLEDO, OH 43620-1352
(419) 699-3357
(419) 491-4886
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1302311
OH
Other
Enumeration date
12/10/2014
Last updated
03/24/2023
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