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Individual

MR. ERNEST GLAZER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1120 EASTON RD, THE CENTER FOR FAMILY DEVELOPMENT -SUITE ONE, WILLOW GROVE, PA 19090-1922
(215) 830-8430
(215) 830-8432
Mailing address
1224 DUNCAN DR, DRESHER, PA 19025-1614
(215) 659-9199
(215) 830-8432

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW014059
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07724577
PA
01
CW014059
LICENSED CLINICAL SOCIAL
PA
Enumeration date
10/23/2006
Last updated
07/09/2007
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