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Individual

MS. DAWN MARIE GLENN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
169 N WILLOW ST, FRUITA, CO 81521-2526
(702) 964-7579
(000) 000-0000
Mailing address
169 N WILLOW ST, FRUITA, CO 81521-2526
(970) 296-4757
(000) 000-0000

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4428
CO

Other

Enumeration date
09/02/2010
Last updated
05/10/2021
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