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Individual

MS. GLENIS MELAINE SANDUSKY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MSW,CMSW

Contact information

Practice address
7151 SPRINGBORO PIKE, DAYTON, OH 45449-3605
(937) 268-6511
(937) 267-3901
Mailing address
7151 SPRINGBORO PIKE, DAYTON, OH 45449-3605
(937) 268-6511
(937) 267-3901

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1041C0700X
Clinical Social Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CSW0000006608
MEDICAL SOCIAL WORKER
TN
Enumeration date
06/08/2006
Last updated
09/11/2025
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