Individual
BEVERLY SUE GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
20 OFFICE PARK WAY, PITTSFORD, NY 14534-1718
(585) 586-3720
Mailing address
3 HADLEY CT, PITTSFORD, NY 14534-2838
(585) 218-9153
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R045886-1
NY
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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