Individual
KENNEDY ANN GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 E CARDINAL ST, SILER CITY, NC 27344-3300
(919) 663-2955
Mailing address
248 EXECUTIVE PARK DR, STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-28246
NC
1041C0700X
Clinical Social Worker
P017726
NC
Other
Enumeration date
07/14/2022
Last updated
08/24/2022
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