Individual
EVERETT TETUSHI GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ASW
Contact information
Practice address
1005 ATLANTIC AVE, ALAMEDA, CA 94501-1148
(510) 984-1654
Mailing address
1005 ATLANTIC AVE, ALAMEDA, CA 94501-1148
(510) 984-1654
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW123308
CA
Other
Enumeration date
05/06/2013
Last updated
05/14/2025
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