Individual
GLENRICK ALAN PEART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
37 SCULPIN WAY APT 1, SWAMPSCOTT, MA 01907-2664
(781) 771-5489
Mailing address
37 SCULPIN WAY APT 1, SWAMPSCOTT, MA 01907-2664
(781) 771-5489
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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