Individual
MILES CHRISTOPHER GLASGOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PLMHP, PLADC, PCMSW
Contact information
Practice address
7412 N 80TH ST, OMAHA, NE 68122-1408
(402) 301-8062
Mailing address
7412 N 80TH ST, OMAHA, NE 68122-1408
(402) 301-8062
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
PLADC P-829
NE
1041C0700X
Clinical Social Worker
Primary
PLMHP 8681
NE
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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